MEDICARE: DR. EUGENE C FRENCH MD

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	207RI0200X	Infectious Disease Physician	MA058436	NJ
2	207R00000X	Internal Medicine Physician	25MA058436	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	:	1215927843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EUGENE C FRENCH MD

Provider Business Mailing Address
First Line	:	255 W SPRING VALLEY AVE
Second Line	:	SUITE 200
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1445
Country	:	US
Telephone Number	:	201-343-2778
Fax Number	:	201-343-1990

Provider Business Practice Location Address
First Line	:	255 W SPRING VALLEY AVE
Second Line	:	SUITE 200
City	:	MAYWOOD
State	:	NJ
Zip	:	07607-1445
Country	:	US
Telephone Number	:	201-343-2778
Fax Number	:	201-343-1990

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

Provider Enumeration Date	:	10/25/2005
Last Update Date	:	09/27/2013

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