MEDICARE: JOHN N. FRANZESE, MD, PC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	DE1048	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7169661	OTHER	AETNA
3	2108557000	OTHER	AMERIHEALTH

General Provider Information

NPI Number	:	1922294636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN N. FRANZESE, MD, PC

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	:	OWNER
Name	:	JOHN N. FRANZESE
Credential	:	M.D.
Telephone Number	:	973-701-8277

Provider Enumeration Date	:	09/18/2007
Last Update Date	:	09/19/2007

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