Frattali, Mark Anthony
Frattali, Mark Anthony is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Frattali, Mark Anthony can be contacted via phone (570) 342-7864.Contact Information
Primary practice address
300 Lackawanna Ave Ste 200
Scranton PA 18503-2001
Phone: (570) 342-7864
Fax: (570) 840-1259
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | MD046121L | Pennsylvania |
Profile Details
| NPI number | 1649270174 |
|---|---|
| LBN Legal business name | Frattali, Mark Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Dec 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649270174 | NPPES |
| Pennsylvania | MEDICAID | 001469575001 |
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