Healthcare Provider Details

I. General information

NPI: 1770675308
Provider Name (Legal Business Name): FRANCIS LEE GRIFFIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PARK AVE. & RANDOLPH RD. DEPT. OF MED ED - MUHLENBERG HOSPITAL
PLAINFIELD NJ
07061
US

IV. Provider business mailing address

PARK AVE. & RANDOLPH RD. DEPT. MED. ED. MUHLENBERG HOSPITAL
PLAINFIELD NJ
07061
US

V. Phone/Fax

Practice location:
  • Phone: 908-668-2030
  • Fax: 908-226-4543
Mailing address:
  • Phone: 908-668-2030
  • Fax: 908-226-4543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number25MA03588900
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier34664-00
Identifier TypeMEDICAID
Identifier StateNJ
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: