Basic Information
| Provider Information | |||||||||
| NPI: | 1003254145 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LIEN | ||||||||
| FirstName: | FRANK | ||||||||
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| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 419430 | ||||||||
| Address2: | |||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022419430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2016663900 | ||||||||
| FaxNumber: | 2012610505 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 RUCKMAN RD | ||||||||
| Address2: | |||||||||
| City: | CLOSTER | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 076242100 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2013856161 | ||||||||
| FaxNumber: | 2013851671 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/11/2013 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 25MB09754100 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.