Provider Demographics
NPI:1235126616
Name:DELVALLE, FRANCISCO I (MD)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:I
Last Name:DELVALLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 315
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-0315
Mailing Address - Country:US
Mailing Address - Phone:732-607-9000
Mailing Address - Fax:732-607-7706
Practice Address - Street 1:3 HOSPITAL PLZ
Practice Address - Street 2:SUITE 309
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3093
Practice Address - Country:US
Practice Address - Phone:732-607-9000
Practice Address - Fax:732-607-7706
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2024-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA06091700208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7898401Medicaid
G89817Medicare UPIN
025988NV4Medicare ID - Type Unspecified