Basic Information
Provider Information
NPI: 1669400057
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRANKEL
FirstName: DOV
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2926 PAINTED VALLEY DR
Address2:  
City: LITTLE ROCK
State: AR
PostalCode: 722123120
CountryCode: US
TelephoneNumber: 5012275202
FaxNumber:  
Practice Location
Address1: 2401 W BELVEDERE AVE
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212155216
CountryCode: US
TelephoneNumber: 4106019000
FaxNumber: 4106019468
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XE-4273MDY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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