Provider Demographics
NPI:1174570535
Name:FRANK AND ANGIE LLC
Entity type:Organization
Organization Name:FRANK AND ANGIE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEBASTIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-226-1300
Mailing Address - Street 1:482 BLOOMFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-5402
Mailing Address - Country:US
Mailing Address - Phone:973-226-1300
Mailing Address - Fax:
Practice Address - Street 1:482 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-5402
Practice Address - Country:US
Practice Address - Phone:973-226-1300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2011-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
4697050001Medicare ID - Type Unspecified