Provider Demographics
NPI:1588647606
Name:MCLEOD, FRANCINE N (MD)
Entity Type:Individual
Prefix:
First Name:FRANCINE
Middle Name:N
Last Name:MCLEOD
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 1:6201 GREENLEIGH AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLE RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:21220-2004
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:703-776-2917
Practice Address - Street 1:600 N WOLFE STREET
Practice Address - Street 2:PHIPPS 254
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-2128
Practice Address - Country:US
Practice Address - Phone:410-955-9045
Practice Address - Fax:410-502-5505
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236359207V00000X
MDD57831207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010116210Medicaid
VA010116210Medicaid
006204A47Medicare ID - Type Unspecified