Healthcare Provider Details

I. General information

NPI: 1053334110
Provider Name (Legal Business Name): FRANCIS MICHAEL CHIRICOSTA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 11/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 16TH ST NW BUILDING 54, ROOM 1029
WASHINGTON DC
20306-6000
US

IV. Provider business mailing address

6825 16TH ST NW BUILDING 54, ROOM 1029
WASHINGTON DC
20306-6000
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-2260
  • Fax:
Mailing address:
  • Phone: 202-782-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License NumberG80315
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberG80315
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: