Provider Demographics
NPI:1538152905
Name:PAGANO, FRANCESCO P (DO)
Entity type:Individual
Prefix:DR
First Name:FRANCESCO
Middle Name:P
Last Name:PAGANO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:108 CHESHIRE LN
Mailing Address - Street 2:
Mailing Address - City:RINGWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07456-2743
Mailing Address - Country:US
Mailing Address - Phone:973-556-5464
Mailing Address - Fax:201-368-9618
Practice Address - Street 1:299 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5316
Practice Address - Country:US
Practice Address - Phone:201-368-1717
Practice Address - Fax:201-368-9618
Is Sole Proprietor?:No
Enumeration Date:2005-08-31
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB048581207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5013801Medicaid
NJF09096Medicare UPIN
NJ5013801Medicaid