Healthcare Provider Details

I. General information

NPI: 1316928948
Provider Name (Legal Business Name): JOHN PAUL NOTAR-FRANCESCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/10/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 WILDWOOD MEDICAL CTR
ESSEX CT
06426-1155
US

IV. Provider business mailing address

9 WILDWOOD MEDICAL CTR
ESSEX CT
06426-1155
US

V. Phone/Fax

Practice location:
  • Phone: 860-767-7149
  • Fax: 860-767-1943
Mailing address:
  • Phone: 860-767-7149
  • Fax: 860-767-1943

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number025936
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number025936
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: