Provider Demographics
NPI:1295885325
Name:FRANKENSTEIN, RICHARD STUART (MD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:STUART
Last Name:FRANKENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3660 ARLINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3912
Mailing Address - Country:US
Mailing Address - Phone:951-321-6335
Mailing Address - Fax:951-784-3268
Practice Address - Street 1:7117 BROCKTON AVE.
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3912
Practice Address - Country:US
Practice Address - Phone:951-321-6335
Practice Address - Fax:951-784-3268
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2011-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG37787207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ31887ZOtherSITE MEDICARE NUMBER
CAZZZ31887ZOtherSITE MEDICARE NUMBER