Provider Demographics
NPI:1053426015
Name:FRANK, EDWARD W (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:FRANK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 ALLDS ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-4758
Mailing Address - Country:US
Mailing Address - Phone:603-889-4149
Mailing Address - Fax:603-889-7648
Practice Address - Street 1:76 ALLDS ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-4758
Practice Address - Country:US
Practice Address - Phone:603-889-4149
Practice Address - Fax:603-889-7648
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA71769207N00000X, 207ND0101X
NH9566207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH071769OtherTUFTS HEALTHCARE
NH6623OtherCIGNA HEALTHCARE
MAZ45565OtherMEDEX
NHF25654OtherANTHEM BCBS
NH070010746OtherRAILROAD MEDICARE
MAJ12410OtherBCBS OF MA
NH2047112OtherAETNA HEALTHCARE
NHF256541OtherHPHC
NHF25654OtherANTHEM BCBS
MAJ12410OtherBCBS OF MA