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Export Provider Record NPI 1053390583
Frank KoluckiMD
Active
NPI Number1053390583
NPI TypeNPI-1 Individual
SpecialtyObstetrics & Gynecology
Provider Details
NPI1053390583
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-01-12
Last Updated2021-08-10
Mailing Address748 Quincy Ave, Suite 2a
Scranton, PA 18510-1739
United States
Phone: (570) 961-0851 | Fax: (570) 344-4285
📍 View Map
Primary Practice Address748 Quincy Ave, Suite 2a
Scranton, PA 18510-1739
United States
Phone: (570) 961-0851 | Fax: (570) 344-4285
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDPA001588549
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207V00000X – Obstetrics & GynecologyPAMD058450L
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About NPI 1053390583

Frank Kolucki MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053390583. The primary specialty listed is Obstetrics & Gynecology. The provider is located in Scranton, PA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-01-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053390583?

NPI 1053390583 belongs to Frank Kolucki MD, a Obstetrics & Gynecology in Scranton, PA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053390583 active?

The current status of NPI 1053390583 in the NPPES registry is Active. The record was last updated on 2021-08-10.

What specialty is NPI 1053390583?

NPI 1053390583 is classified under the taxonomy Obstetrics & Gynecology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053390583?

You can verify NPI 1053390583 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053390583?

The primary practice address on file for NPI 1053390583 is 748 Quincy Ave, Scranton, PA 18510-1739. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053390583 issued?

NPI 1053390583 was first issued (enumerated) on 2006-01-12. The NPPES record was last updated on 2021-08-10.

Practice Location Map

Frank Kolucki is located at 748 Quincy Ave, Scranton, PA. Use the map below to find directions or verify the practice location.

📍 748 Quincy Ave, Scranton, PA 18510-1739  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Frank Kolucki. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053390583. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Obstetrics & GynecologyMD058450LPA
Data Verified from CMS NPPES Last synced: 2026-06-14 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162