Provider Demographics
NPI:1285020222
Name:FRANKLIN SQUARE HEALTH GROUP LLC
Entity type:Organization
Organization Name:FRANKLIN SQUARE HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROON
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDHRY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:323-417-0335
Mailing Address - Street 1:6464 W SUNSET BLVD
Mailing Address - Street 2:UNIT 790
Mailing Address - City:HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90028-8001
Mailing Address - Country:US
Mailing Address - Phone:323-417-0335
Mailing Address - Fax:646-304-1681
Practice Address - Street 1:6464 W SUNSET BLVD
Practice Address - Street 2:SUITE 790
Practice Address - City:HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90028-8001
Practice Address - Country:US
Practice Address - Phone:323-417-0335
Practice Address - Fax:646-304-1681
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-07
Last Update Date:2015-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY211953261QE0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0800XAmbulatory Health Care FacilitiesClinic/CenterEndoscopy