Provider Demographics
NPI:1699222901
Name:FRANCO, RAENETTE
Entity Type:Individual
Prefix:
First Name:RAENETTE
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 RANDE DR
Mailing Address - Street 2:COMPASSION WORKS MEDICAL
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5930
Mailing Address - Country:US
Mailing Address - Phone:973-832-4736
Mailing Address - Fax:973-387-1223
Practice Address - Street 1:11 RANDE DR.
Practice Address - Street 2:COMPASSION WORKS MEDICAL
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470
Practice Address - Country:US
Practice Address - Phone:973-832-4736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-02
Last Update Date:2016-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist