Basic Information
Provider Information
NPI: 1437228020
EntityType: 2
ReplacementNPI:  
OrganizationName: FRANK O'BRIEN M.D. P.C.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1746
Address2:  
City: KINGSTON
State: PA
PostalCode: 187040746
CountryCode: US
TelephoneNumber: 5702883535
FaxNumber: 5702880808
Practice Location
Address1: 390 PIERCE ST
Address2:  
City: KINGSTON
State: PA
PostalCode: 187045532
CountryCode: US
TelephoneNumber: 5702883535
FaxNumber: 5702880804
Other Information
ProviderEnumerationDate: 11/07/2006
LastUpdateDate: 08/22/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: OBRIEN
AuthorizedOfficialFirstName: FRANK
AuthorizedOfficialMiddleName: D
AuthorizedOfficialTitleorPosition: OWNER
AuthorizedOfficialTelephone: 5702883535
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000XMD034202EPAY193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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