Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | MD02099 | NJ |
NPI | 1356434609 |
---|---|
Provider Name | Dr. John Franceschini |
First Address | Lawrenceville, NJ 08648-3633 |
Second Address | Lawrenceville, NJ 08648-3633 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/10/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5069904 | (05) | NJ |
U02247 | (02) | NJ |