Provider Demographics
NPI:1528129384
Name:SCARLETT, FRANKLIN HARVEY JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:HARVEY
Last Name:SCARLETT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6012 WESTFIELD AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-1720
Mailing Address - Country:US
Mailing Address - Phone:856-966-3466
Mailing Address - Fax:856-831-1715
Practice Address - Street 1:6012 WESTFIELD AVE FL 1
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-1720
Practice Address - Country:US
Practice Address - Phone:856-966-3466
Practice Address - Fax:856-831-1715
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2020-04-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJMA037171207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ2214504Medicaid
NJ106192Medicare PIN
NJC53287Medicare UPIN