MEDICARE: DR. FRANCIS W PREVITI 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	208600000X	Surgery Physician	25MA33857	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	:	1336165273
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCIS W PREVITI MD

Provider Business Mailing Address
First Line	:	1601 TILTON RD STE 3
Second Line	:
City	:	NORTHFIELD
State	:	NJ
Zip	:	08225-1858
Country	:	US
Telephone Number	:	609-568-5606
Fax Number	:	609-303-2482

Provider Business Practice Location Address
First Line	:	1601 TILTON RD
Second Line	:	SUITE 4
City	:	NORTH FIELD
State	:	NJ
Zip	:	08225
Country	:	US
Telephone Number	:	609-568-5606
Fax Number	:	609-303-2482

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	05/05/2021

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