MEDICARE: DR. FRANCES SIRICO-KELLY D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	OS006540-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1477547610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANCES SIRICO-KELLY D.O.

Provider Business Mailing Address
First Line	:	805 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7968
Country	:	US
Telephone Number	:	215-233-0557
Fax Number	:	215-233-0381

Provider Business Practice Location Address
First Line	:	805 E WILLOW GROVE AVE
Second Line	:
City	:	WYNDMOOR
State	:	PA
Zip	:	19038-7968
Country	:	US
Telephone Number	:	215-233-0557
Fax Number	:	215-233-0381

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2005
Last Update Date	:	12/28/2009

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Directions to “ DR. FRANCES SIRICO-KELLY D.O.” Practice Location

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