Basic Information
| Provider Information | |||||||||
| NPI: | 1720055296 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AMMATURO | ||||||||
| FirstName: | FRANK | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 UNIVERSITY DR | ||||||||
| Address2: | SUITE 300 | ||||||||
| City: | NEWTOWN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 189401873 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157107037 | ||||||||
| FaxNumber: | 2157105181 | ||||||||
| Practice Location | |||||||||
| Address1: | 1203 LANGHORNE NEWTOWN RD STE 320 | ||||||||
| Address2: | |||||||||
| City: | LANGHORNE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 190471235 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2157507818 | ||||||||
| FaxNumber: | 2157520436 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2006 | ||||||||
| LastUpdateDate: | 05/19/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | MD070113L | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 0702774 | 01 | PA | CIGNA PA | OTHER | P01123858 | 01 | PA | RAILROAD MEDICARE | OTHER | 1008513740005 | 05 | PA | MEDICAID | 30120524 | 01 | PA | KEYSTONE FIRST | OTHER | 1535791 | 01 | PA | PENNSYLVANIA BLUE SHIELD | OTHER | 2220636000 | 01 | PA | KEYSTONE | OTHER | 7850434 | 01 | PA | AETNA | OTHER |