Provider Demographics
NPI:1851438378
Name:JAMES AND ANNETTE FRANKLIN MD
Entity type:Organization
Organization Name:JAMES AND ANNETTE FRANKLIN MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:FRANKLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-667-8535
Mailing Address - Street 1:175 FRANKLIN AVE
Mailing Address - Street 2:STE 201
Mailing Address - City:NUTLEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07110-3819
Mailing Address - Country:US
Mailing Address - Phone:973-667-8535
Mailing Address - Fax:973-667-8442
Practice Address - Street 1:175 FRANKLIN AVE
Practice Address - Street 2:STE 201
Practice Address - City:NUTLEY
Practice Address - State:NJ
Practice Address - Zip Code:07110-3819
Practice Address - Country:US
Practice Address - Phone:973-667-8535
Practice Address - Fax:973-667-8442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8650209Medicaid
NJ683492Medicare ID - Type Unspecified