MEDICARE: FRANCISCO G COLON M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	MA62520	NJ

General Provider Information

NPI Number	:	1770574410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCISCO G COLON M.D.

Provider Business Mailing Address
First Line	:	124 COLUMBIA TPKE
Second Line	:
City	:	FLORHAM PARK
State	:	NJ
Zip	:	07932-2106
Country	:	US
Telephone Number	:	973-822-3000
Fax Number	:	973-822-1726

Provider Business Practice Location Address
First Line	:	124 COLUMBIA TPKE
Second Line	:
City	:	FLORHAM PARK
State	:	NJ
Zip	:	07932-2106
Country	:	US
Telephone Number	:	973-822-3000
Fax Number	:	973-822-1726

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

Provider Enumeration Date	:	11/02/2005
Last Update Date	:	07/08/2007

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