Healthcare Provider Details

I. General information

NPI: 1114392388
Provider Name (Legal Business Name): FRANCIS E HANDLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2015
Last Update Date: 12/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2119 HIGHWAY 33 SUITE B
HAMILTON SQUARE NJ
08690-1740
US

IV. Provider business mailing address

PO BOX 10439
TRENTON NJ
08650-4039
US

V. Phone/Fax

Practice location:
  • Phone: 609-581-5303
  • Fax: 609-631-6839
Mailing address:
  • Phone: 609-581-5303
  • Fax: 609-631-6839

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number26NR16017300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: