Basic Information
Provider Information
NPI: 1285929232
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANK
FirstName: MATTHEW
MiddleName: JOSHUA
NamePrefix: DR.
NameSuffix:  
Credential: M.D. PH.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 269 CAMPUS DR
Address2:  
City: STANFORD
State: CA
PostalCode: 943055101
CountryCode: US
TelephoneNumber: 2142070749
FaxNumber:  
Practice Location
Address1: 269 CAMPUS DR
Address2:  
City: STANFORD
State: CA
PostalCode: 943055101
CountryCode: US
TelephoneNumber: 2142070749
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/16/2011
LastUpdateDate: 05/17/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0003XA124604CAY Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207R00000XA124604CAN Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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