Provider Demographics
NPI:1770675308
Name:GRIFFIN, FRANCIS LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:LEE
Last Name:GRIFFIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PARK AVE. & RANDOLPH RD.
Mailing Address - Street 2:DEPT. MED. ED. MUHLENBERG HOSPITAL
Mailing Address - City:PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07061
Mailing Address - Country:US
Mailing Address - Phone:908-668-2030
Mailing Address - Fax:908-226-4543
Practice Address - Street 1:PARK AVE. & RANDOLPH RD.
Practice Address - Street 2:DEPT. OF MED ED - MUHLENBERG HOSPITAL
Practice Address - City:PLAINFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07061
Practice Address - Country:US
Practice Address - Phone:908-668-2030
Practice Address - Fax:908-226-4543
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03588900207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ34664-00Medicaid
NJC53362Medicare UPIN
NJ118,891Medicare ID - Type Unspecified