Provider Demographics
NPI:1801529698
Name:FRANZESE, CAROLINE MARIE
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARIE
Last Name:FRANZESE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 SMOCK CT
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-7942
Mailing Address - Country:US
Mailing Address - Phone:718-909-3887
Mailing Address - Fax:
Practice Address - Street 1:1825 RTE 35
Practice Address - Street 2:
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3541
Practice Address - Country:US
Practice Address - Phone:732-280-2600
Practice Address - Fax:848-469-8933
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NJ25MP00717500363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant