Provider Demographics
NPI:1891877932
Name:CIMAFRANCA, DANIEL LOPEZ (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:LOPEZ
Last Name:CIMAFRANCA
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 1:3 QUAIL RDG
Mailing Address - Street 2:
Mailing Address - City:PRINCETON JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08550-2158
Mailing Address - Country:US
Mailing Address - Phone:609-588-8000
Mailing Address - Fax:609-689-3888
Practice Address - Street 1:2273 HIGHWAY 33 STE 203
Practice Address - Street 2:GOLDEN CREST CORP. CENTER
Practice Address - City:HAMILTON SQUARE
Practice Address - State:NJ
Practice Address - Zip Code:08690-1747
Practice Address - Country:US
Practice Address - Phone:609-588-5000
Practice Address - Fax:609-689-3888
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175189207R00000X
NJMA051050207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01113166Medicaid
NJ7162201Medicaid
NYD92252Medicare UPIN
NY03F811Medicare ID - Type Unspecified
NY26095Medicare ID - Type Unspecified
NJ648455Medicare ID - Type Unspecified
NY01113166Medicaid