Healthcare Provider Details
I. General information
NPI: 1447551213
Provider Name (Legal Business Name): FRANKLIN MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2010
Last Update Date: 11/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
514 ROUTE 33 SUITE 6
MILLSTONE TOWNSHIP NJ
08535-9427
US
IV. Provider business mailing address
514 ROUTE 33 SUITE 6
MILLSTONE TOWNSHIP NJ
08535-9427
US
V. Phone/Fax
- Phone: 732-851-7007
- Fax: 732-851-7008
- Phone: 732-851-7007
- Fax: 732-851-7008
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 25MA07795100 |
| License Number State | NJ |
VIII. Authorized Official
Name: MS.
SAMANTHA
LEONE
Title or Position: OFFICE MANAGER
Credential:
Phone: 732-851-7007