Provider Demographics
NPI:1790947794
Name:REHOR, FRANCIS EDWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:EDWARD
Last Name:REHOR
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 1:61 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1936
Mailing Address - Country:US
Mailing Address - Phone:516-512-3894
Mailing Address - Fax:
Practice Address - Street 1:61 FOREST GLEN DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-1936
Practice Address - Country:US
Practice Address - Phone:516-512-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08405600207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP00688314-MERCEROtherRAILROAD MEDICARE
NJ3525802000OtherAMERIHEALTH
NJ0178420Medicaid
NJ3525802000OtherAMERIHEALTH