Doctor Name: | DR. MICHAEL J DIFRANCESCA |
NPI Number: | 1598711954 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | SC005831 |
Business Practice Address: | 474 Conchester Hwy Route 322 Aston, PA - 190143129 |
Business Phone Number: | 6104858208 |
Business Fax Number: | 6104858254 |
Mailing Address: | 474 Conchester Hwy, Route 322 ASTON |
State: | PA |
Postal Code: | 190143129 |
Phone Number: | 6104858208 |
Fax Number: | 6104858254 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 12/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213EP1101X |
License Number: | SC005831 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Primary Podiatric Medicine |
Taxonomy Definition: |