Provider Demographics
NPI:1255447348
Name:FRANCKY MERLIN MD LLC
Entity type:Organization
Organization Name:FRANCKY MERLIN MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANCKY
Authorized Official - Middle Name:
Authorized Official - Last Name:MERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-246-7600
Mailing Address - Street 1:49 VERONICA AVENUE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873-6802
Mailing Address - Country:US
Mailing Address - Phone:732-246-7600
Mailing Address - Fax:732-246-8078
Practice Address - Street 1:49 VERONICA AVENUE
Practice Address - Street 2:SUITE 202
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-6802
Practice Address - Country:US
Practice Address - Phone:732-246-7600
Practice Address - Fax:732-246-8078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA068722207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
F04390Medicare UPIN
035260 VHSMedicare ID - Type Unspecified