Basic Information
Provider Information
NPI: 1417037482
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KONIGES
FirstName: FRANK
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3 COOPER PLZ
Address2: SUITE 502
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8569636888
FaxNumber: 8563651180
Practice Location
Address1: 3 COOPER PLZ
Address2: SUITE 411
City: CAMDEN
State: NJ
PostalCode: 081031438
CountryCode: US
TelephoneNumber: 8563423412
FaxNumber: 8563651180
Other Information
ProviderEnumerationDate: 10/16/2006
LastUpdateDate: 08/20/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000XMA52196NJY Allopathic & Osteopathic PhysiciansSurgery 

ID Information
IDTypeStateIssuerDescription
02002588401NJRR MEDICAREOTHER
124368301NJUNITED HEALTHCAREOTHER
46135701NJAETNAOTHER
CA000006601NJAMERICHOICEOTHER
107652301NJHORIZON NJ HEALTHOTHER
3K607701NJHEALTHNETOTHER
74662001NJAMERIHEALTH PPO/PABSOTHER
P55743301NJOXFORDOTHER
2563401NJUNIVERSITY HEALTH PLANOTHER
552330305NJ MEDICAID
142957001NJCIGNAOTHER
065597300001NJAMERIHEALTH/KEYSTONE/IBCOTHER


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