Provider Demographics
NPI:1487676284
Name:OWCZAREK, FRANK R (MD)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:R
Last Name:OWCZAREK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4102 OGLETOWN-STANTON RD
Mailing Address - Street 2:STE 1
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713-4169
Mailing Address - Country:US
Mailing Address - Phone:302-454-8800
Mailing Address - Fax:302-454-8801
Practice Address - Street 1:4102 OGLETOWN-STANTON ROAD
Practice Address - Street 2:SUITE 1
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713-4169
Practice Address - Country:US
Practice Address - Phone:302-454-8800
Practice Address - Fax:302-454-8801
Is Sole Proprietor?:No
Enumeration Date:2006-07-24
Last Update Date:2008-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1OD00924207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
44212OtherCOVENTRY
B66366Medicare UPIN
DE075523O32Medicare PIN