Provider Demographics
NPI:1528155900
Name:KERN, FRANK (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:
Last Name:KERN
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 1:2201 BAYSHORE AVE
Mailing Address - Street 2:
Mailing Address - City:BRIGANTINE
Mailing Address - State:NJ
Mailing Address - Zip Code:08203-1927
Mailing Address - Country:US
Mailing Address - Phone:609-266-4777
Mailing Address - Fax:609-266-1673
Practice Address - Street 1:2201 BAYSHORE AVE
Practice Address - Street 2:
Practice Address - City:BRIGANTINE
Practice Address - State:NJ
Practice Address - Zip Code:08203-1927
Practice Address - Country:US
Practice Address - Phone:609-266-4777
Practice Address - Fax:609-266-1673
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05012800207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC29928Medicare UPIN
PA099953Medicare PIN
NJ051289VVAMedicare PIN