Provider Demographics
NPI:1548339104
Name:CHARLTON, FRANCIS JOSEPH JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:JOSEPH
Last Name:CHARLTON
Suffix:JR
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 1:2645 OCEAN AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94132-1646
Mailing Address - Country:US
Mailing Address - Phone:415-585-7880
Mailing Address - Fax:415-585-7149
Practice Address - Street 1:2645 OCEAN AVE STE 208
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94132-1646
Practice Address - Country:US
Practice Address - Phone:415-585-7880
Practice Address - Fax:415-585-7149
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG37652207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G376520Medicaid
CA00G376520Medicare ID - Type Unspecified
CA00G376520Medicaid