Healthcare Provider Details

I. General information

NPI: 1841788924
Provider Name (Legal Business Name): ALEXA MARIE FRANCO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/25/2018
Last Update Date: 05/16/2023
Certification Date: 05/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4390 US HIGHWAY 1 STE 100
PRINCETON NJ
08540-5788
US

IV. Provider business mailing address

23 W 76TH ST APT 2A
NEW YORK NY
10023-1552
US

V. Phone/Fax

Practice location:
  • Phone: 732-846-6540
  • Fax:
Mailing address:
  • Phone: 201-575-1474
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YS0123X
TaxonomyFacial Plastic Surgery Physician
License Number25MA11766400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: