MEDICARE: MS. DENISE A FRANZESE DC

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	111N00000X	Chiropractor	DC00316	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	35440	OTHER		BLUE CROSS
2	4400075	OTHER		UNITED HEALTH

General Provider Information

NPI Number	:	1750375739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DENISE A FRANZESE DC

Provider Business Mailing Address
First Line	:	1481 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-4800
Country	:	US
Telephone Number	:	401-272-0888
Fax Number	:	401-272-0985

Provider Business Practice Location Address
First Line	:	1481 ATWOOD AVE
Second Line	:
City	:	JOHNSTON
State	:	RI
Zip	:	02919-4800
Country	:	US
Telephone Number	:	401-272-0888
Fax Number	:	401-272-0985

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	07/08/2007

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