Provider Demographics
NPI:1942393012
Name:FRANCO, CHARLES D (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:D
Last Name:FRANCO
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 1:2 RESEARCH WAY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-6816
Mailing Address - Country:US
Mailing Address - Phone:609-409-4500
Mailing Address - Fax:609-409-9050
Practice Address - Street 1:2 RESEARCH WAY
Practice Address - Street 2:SUITE 307
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-6816
Practice Address - Country:US
Practice Address - Phone:609-409-4500
Practice Address - Fax:609-409-9050
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04330100208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1430505Medicaid
2969769OtherAETNA
TS008OtherOXFORD
OK3042OtherHEALTHNET
060025411OtherRR MCR
2969769OtherAETNA
NJ1430505Medicaid