Provider Demographics
NPI:1518961887
Name:PICCIONE, FRANCIS J (DO)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:PICCIONE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 SMYTH RD
Mailing Address - Street 2:VA MEDICAL CENTER 111/112
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-7007
Mailing Address - Country:US
Mailing Address - Phone:603-624-4366
Mailing Address - Fax:
Practice Address - Street 1:718 SMYTH RD
Practice Address - Street 2:VA MEDICAL CENTER 111/112
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-7007
Practice Address - Country:US
Practice Address - Phone:603-624-4366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB03694500174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ4383903OtherAETNA PPO ID #
NJ03T181OtherEMPIRE BC/BS OF NY ID #
NJ200039922OtherRR MDCR#
NJ568137OtherAETNA HMO ID #
NJBS473OtherOXFORD ID #
NJC53766Medicare UPIN
NJ182951WX5Medicare PIN