Basic Information
| Provider Information | |||||||||
| NPI: | 1457383382 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCOIS | ||||||||
| FirstName: | EMMANUEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 187 W HOBART GAP RD | ||||||||
| Address2: | |||||||||
| City: | LIVINGSTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 070395117 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733225437 | ||||||||
| FaxNumber: | 9733228833 | ||||||||
| Practice Location | |||||||||
| Address1: | 41 WASHINGTON AVE | ||||||||
| Address2: | |||||||||
| City: | IRVINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 071113313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9733733199 | ||||||||
| FaxNumber: | 9733730480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2006 | ||||||||
| LastUpdateDate: | 09/28/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 25MA05779500 | NJ | Y | Other Service Providers | Specialist |
ID Information
| ID | Type | State | Issuer | Description | 5661307 | 05 | NJ | MEDICAID |