Provider Demographics
NPI:1568600971
Name:FRANCISCO, FROILAN MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:FROILAN
Middle Name:MARTIN
Last Name:FRANCISCO
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 1:127 MONARCH TRL
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-2519
Mailing Address - Country:US
Mailing Address - Phone:973-715-1448
Mailing Address - Fax:
Practice Address - Street 1:11529 S HIGHWAY 6
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-4932
Practice Address - Country:US
Practice Address - Phone:713-461-2915
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NJ25MA08615200207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00774670OtherRR MEDICARE - PHYS. ASSOC OF TEANECK
NJ0213951Medicaid
NJ0213951Medicaid
NJ167212ZC79Medicare PIN