Provider Demographics
NPI:1851727812
Name:ROWENA R. FRANCISCO MD PA
Entity Type:Organization
Organization Name:ROWENA R. FRANCISCO MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROWENA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-566-5611
Mailing Address - Street 1:31 FAIRMOUNT AVE
Mailing Address - Street 2:BOX 642
Mailing Address - City:CHESTER
Mailing Address - State:NJ
Mailing Address - Zip Code:07930-2668
Mailing Address - Country:US
Mailing Address - Phone:908-879-2112
Mailing Address - Fax:973-564-9070
Practice Address - Street 1:31 FAIRMOUNT AVE
Practice Address - Street 2:BOX 642
Practice Address - City:CHESTER
Practice Address - State:NJ
Practice Address - Zip Code:07930-2668
Practice Address - Country:US
Practice Address - Phone:908-879-2112
Practice Address - Fax:973-564-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-23
Last Update Date:2013-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA07734103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty