Provider Demographics
NPI:1710979216
Name:CHARDO, FRANCIS (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:CHARDO
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 1:218C SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:WILLINGBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:08046-1104
Mailing Address - Country:US
Mailing Address - Phone:609-877-0400
Mailing Address - Fax:609-877-1682
Practice Address - Street 1:218C SUNSET RD
Practice Address - Street 2:
Practice Address - City:WILLINGBORO
Practice Address - State:NJ
Practice Address - Zip Code:08046-1104
Practice Address - Country:US
Practice Address - Phone:609-877-0400
Practice Address - Fax:609-877-1682
Is Sole Proprietor?:No
Enumeration Date:2005-08-19
Last Update Date:2016-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03132207R00000X, 207RC0000X
PAMD012692E207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3818442OtherAETNA
NJ3K5953OtherHEALTHNET, INC
NJ1155805OtherCIGNA
NJP3597669OtherOXFORD
NJ053635OtherAMERIHEALTH PPO/PABS
NJ2260808Medicaid
NJ897992OtherUNIVERISTY HEALTH PLAN
NJ0074796000OtherAMERIHEALTH/ KEYSTONE/IBC
NJ053635 AVVMedicare PIN
C54071Medicare UPIN
NJ2260808Medicaid