Provider Demographics
NPI:1215927843
Name:FRENCH, EUGENE C (MD)
Entity type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:C
Last Name:FRENCH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W SPRING VALLEY AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607-1445
Mailing Address - Country:US
Mailing Address - Phone:201-343-2778
Mailing Address - Fax:201-343-1990
Practice Address - Street 1:255 W SPRING VALLEY AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1445
Practice Address - Country:US
Practice Address - Phone:201-343-2778
Practice Address - Fax:201-343-1990
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2013-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA058436207RI0200X
NJ25MA058436207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6044808Medicaid
F35415Medicare UPIN