Provider Demographics
NPI:1912064072
Name:SALCIE, FRANCISCO ANTONIO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:ANTONIO
Last Name:SALCIE
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 1:321 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PERTH AMBOY
Mailing Address - State:NJ
Mailing Address - Zip Code:08861-4203
Mailing Address - Country:US
Mailing Address - Phone:732-324-0507
Mailing Address - Fax:732-324-0509
Practice Address - Street 1:321 HIGH ST
Practice Address - Street 2:
Practice Address - City:PERTH AMBOY
Practice Address - State:NJ
Practice Address - Zip Code:08861-4203
Practice Address - Country:US
Practice Address - Phone:732-324-0507
Practice Address - Fax:732-324-0509
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA03009900208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3250806Medicaid
NJSA192432Medicare PIN
NJC53848Medicare UPIN