Basic Information
| Provider Information | |||||||||
| NPI: | 1396385407 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FRANKFORD HEALTH ASSOCIATES LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 15 AUBURN DR | ||||||||
| Address2: | |||||||||
| City: | RICHBORO | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189541269 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152081415 | ||||||||
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| Practice Location | |||||||||
| Address1: | 7439 FRANKFORD AVE | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191363600 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2158217336 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2020 | ||||||||
| LastUpdateDate: | 01/07/2020 | ||||||||
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| AuthorizedOfficialLastName: | KENNY | ||||||||
| AuthorizedOfficialFirstName: | MICHAEL | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2153324770 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DC | ||||||||
| NPICertificationDate: | 01/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207QB0002X | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | Bariatric Medicine |
No ID Information.