Doctor Name: | MR. FRANK EDWARD FINE |
NPI Number: | 1700981016 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | A0066472 |
Business Practice Address: | 803 Coffee Rd Suite 4 Modesto, CA - 953554227 |
Business Phone Number: | 2095690776 |
Business Fax Number: | 2095690778 |
Mailing Address: | 803 Coffee Rd, Suite 4 MODESTO |
State: | CA |
Postal Code: | 953554227 |
Phone Number: | 2095690776 |
Fax Number: | 2095690778 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A0066472 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |