Provider Demographics
NPI:1740661131
Name:FRANCISCO, MEGAN (PA-C)
Entity type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:
Last Name:FRANCISCO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STONEHEDGE RD
Mailing Address - Street 2:
Mailing Address - City:MILLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07946-1613
Mailing Address - Country:US
Mailing Address - Phone:201-317-7990
Mailing Address - Fax:
Practice Address - Street 1:201 ROUTE 17 STE 501
Practice Address - Street 2:
Practice Address - City:RUTHERFORD
Practice Address - State:NJ
Practice Address - Zip Code:07070-2669
Practice Address - Country:US
Practice Address - Phone:201-457-0044
Practice Address - Fax:201-457-0047
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-11
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA057585363AM0700X
NJ25MP00498000363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical