Provider Demographics
NPI:1386707099
Name:FRANKEL, MARC ROBERT (DPM)
Entity type:Individual
Prefix:DR
First Name:MARC
Middle Name:ROBERT
Last Name:FRANKEL
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:DR
Other - First Name:MARC
Other - Middle Name:ROBERT
Other - Last Name:FRANKEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DPM
Mailing Address - Street 1:518 ROUTES 6 & 209
Mailing Address - Street 2:210
Mailing Address - City:MILFORD
Mailing Address - State:PA
Mailing Address - Zip Code:18337-9414
Mailing Address - Country:US
Mailing Address - Phone:570-409-0113
Mailing Address - Fax:570-296-8110
Practice Address - Street 1:89 SPARTA AVE
Practice Address - Street 2:270
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1777
Practice Address - Country:US
Practice Address - Phone:570-409-0113
Practice Address - Fax:570-296-8110
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004428L213ES0103X, 213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA100108354Medicare PIN
NJ036039RGTMedicare PIN
NJU79404Medicare UPIN
PA067326RGSMedicare PIN
NY4736220003Medicare NSC
NJ4736220002Medicare NSC