Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MP00537600 | NJ |
Y | 208600000X | Surgeon | 25MP00537600 | NJ |
N | 2082S0105X | Plastic Hand Surgeon | 25MP00537600 | NJ |
NPI | 1063068823 |
---|---|
Provider Name | Ms. Chelsea Anna Marie Francavilla |
First Address | Livingston, NJ 07039-5817 |
Second Address | Livingston, NJ 07039-5817 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2019 |
Last Update Date | 16/08/2019 |