Provider Demographics
NPI:1538194816
Name:KARDOS, FRANK L (MD)
Entity type:Individual
Prefix:
First Name:FRANK
Middle Name:L
Last Name:KARDOS
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 1:220 HAMBURG TURNPIKE
Mailing Address - Street 2:SUITE 23
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2188
Mailing Address - Country:US
Mailing Address - Phone:973-956-1200
Mailing Address - Fax:973-595-0304
Practice Address - Street 1:220 HAMBURG TURNPIKE
Practice Address - Street 2:SUITE 23
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2188
Practice Address - Country:US
Practice Address - Phone:973-956-1200
Practice Address - Fax:973-595-0304
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ17799207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2758709Medicaid
NJ2758709Medicaid
NJ022044Medicare ID - Type Unspecified