Provider Demographics
NPI:1518045954
Name:FRANCISCO, ROWENA REBANO (MD)
Entity Type:Individual
Prefix:
First Name:ROWENA
Middle Name:REBANO
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 COUNTY AVE
Mailing Address - Street 2:BLDG-10
Mailing Address - City:SECAUCUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07094-2605
Mailing Address - Country:US
Mailing Address - Phone:201-369-5252
Mailing Address - Fax:201-369-5261
Practice Address - Street 1:595 COUNTY AVE
Practice Address - Street 2:BLDG-10
Practice Address - City:SECAUCUS
Practice Address - State:NJ
Practice Address - Zip Code:07094
Practice Address - Country:US
Practice Address - Phone:201-369-5252
Practice Address - Fax:201-369-5261
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA477342084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ527486OtherAGENCY MEDICARE NUMBER
NJ0023701Medicaid
NJ0023701Medicaid