Basic Information
| Provider Information | |||||||||
| NPI: | 1265578868 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARLIN | ||||||||
| FirstName: | FRANCIS | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 593 | ||||||||
| Address2: | |||||||||
| City: | CAPE MAY COURT HOUSE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082100593 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094632755 | ||||||||
| FaxNumber: | 6094632757 | ||||||||
| Practice Location | |||||||||
| Address1: | 2087 ROUTE 9 STE 9 | ||||||||
| Address2: | |||||||||
| City: | OCEAN VIEW | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 082301148 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094865150 | ||||||||
| FaxNumber: | 6094866798 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2007 | ||||||||
| LastUpdateDate: | 12/03/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | OS010614L | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 25MB08884500 | NJ | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 0446718 | 05 | NJ | MEDICAID |