Provider Demographics
NPI:1710948674
Name:SPIRN, FRANKLIN H (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:H
Last Name:SPIRN
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 1:1656 OAK TREE RD
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820
Mailing Address - Country:US
Mailing Address - Phone:732-549-8080
Mailing Address - Fax:732-549-0528
Practice Address - Street 1:1656 OAK TREE RD
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820
Practice Address - Country:US
Practice Address - Phone:732-549-8080
Practice Address - Fax:732-549-0528
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-30
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02850500207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0806706Medicaid
C58306Medicare UPIN
NJ0806706Medicaid