Provider Demographics
NPI:1831263029
Name:FRANCO, WAYNE P (MD)
Entity type:Individual
Prefix:DR
First Name:WAYNE
Middle Name:P
Last Name:FRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:520 SAYBROOK RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-4700
Mailing Address - Country:US
Mailing Address - Phone:860-343-0380
Mailing Address - Fax:860-343-0382
Practice Address - Street 1:520 SAYBROOK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4700
Practice Address - Country:US
Practice Address - Phone:860-343-0380
Practice Address - Fax:860-343-0382
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT023684207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
023684OtherCONNECTICARE
2815736OtherAETNA
P2854738OtherOXFORD
010023684CT05OtherBLUE SHIELD
2V1366OtherHEALTHNET
CT001236843Medicaid
010679574OtherCIGNA
P2854738OtherOXFORD
2V1366OtherHEALTHNET