Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC005831 | PA |
NPI | 1598711954 |
---|---|
Provider Name | Dr. Michael J Difrancesca |
First Address | Aston, PA 19014-3129 |
Second Address | Aston, PA 19014-3129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 04/12/2009 |