MEDICARE: JOHN FRANZESE 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	207RG0100X	Gastroenterology Physician	25MA05650400	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053390104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN FRANZESE M.D.

Provider Business Mailing Address
First Line	:	396 MAIN ST
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2112
Country	:	US
Telephone Number	:	973-701-8277
Fax Number	:	973-701-9546

Provider Business Practice Location Address
First Line	:	396 MAIN ST
Second Line	:
City	:	CHATHAM
State	:	NJ
Zip	:	07928-2112
Country	:	US
Telephone Number	:	973-701-8277
Fax Number	:	973-701-9546

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

Provider Enumeration Date	:	01/16/2006
Last Update Date	:	03/03/2020

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