Healthcare Provider Details

I. General information

NPI: 1003083163
Provider Name (Legal Business Name): GREGG ANDREW FRANCO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2008
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 UNIVERSITY LN
MANCHESTER BY THE SEA MA
01944-1632
US

IV. Provider business mailing address

5 UNIVERSITY LN
MANCHESTER BY THE SEA MA
01944-1632
US

V. Phone/Fax

Practice location:
  • Phone: 215-280-3613
  • Fax:
Mailing address:
  • Phone: 215-280-3613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number253685
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: