MEDICARE: DR. NEIL C FRANZESE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	25MA02174400	NJ

General Provider Information

NPI Number	:	1164680013
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NEIL C FRANZESE MD

Provider Business Mailing Address
First Line	:	396 MAIN STREET
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2112
Country	:	US
Telephone Number	:	973-543-2179
Fax Number	:

Provider Business Practice Location Address
First Line	:	396 MAIN STREET
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2112
Country	:	US
Telephone Number	:	973-543-2179
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2008
Last Update Date	:	05/28/2008

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