Individual
CHARISSA MAE FRANCISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 ELIZABETH ST, JERSEY CITY, NJ 07306-1406
(973) 618-8033
Mailing address
29 ELIZABETH ST, JERSEY CITY, NJ 07306-1406
(973) 618-8033
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
033721
NY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
40QA01653300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01653300
NJ PHYSICAL THERAPY LICENSE
NJ
Enumeration date
02/14/2023
Last updated
02/14/2023
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