| Doctor Name: | MR. THOMAS FRANK |
| NPI Number: | 1649681461 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 52MA04082500 |
| Business Practice Address: | 124 Cedar Dr Colts Neck, NJ - 077221673 |
| Business Phone Number: | 7324625470 |
| Business Fax Number: | 7324313173 |
| Mailing Address: | Po Box 249, COLTS NECK |
| State: | NJ |
| Postal Code: | 077220249 |
| Phone Number: | 7324625470 |
| Fax Number: | 7324313173 |
| NPI Enumeration Date: | 05/14/2014 |
| NPI Last Update Date: | 05/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 52MA04082500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |