Provider Demographics
NPI:1922294636
Name:JOHN N. FRANZESE, MD, PC
Entity Type:Organization
Organization Name:JOHN N. FRANZESE, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:N
Authorized Official - Last Name:FRANZESE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-701-8277
Mailing Address - Street 1:396 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-2112
Mailing Address - Country:US
Mailing Address - Phone:973-701-8277
Mailing Address - Fax:973-701-9546
Practice Address - Street 1:396 MAIN ST
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-2112
Practice Address - Country:US
Practice Address - Phone:973-701-8277
Practice Address - Fax:973-701-9546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA05650400207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0069841Medicaid
7169661OtherAETNA
2108557000OtherAMERIHEALTH
DE1048OtherRAILROAD MEDICARE
NJ082934Medicare PIN