Healthcare Provider Details

I. General information

NPI: 1902461411
Provider Name (Legal Business Name): RICHARD AARON FRANCESCO DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/09/2019
Last Update Date: 07/18/2023
Certification Date: 07/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1786 WILMINGTON W CHESTER PIKE STE 202
GLEN MILLS PA
19342-8198
US

IV. Provider business mailing address

1786 WILMINGTON W CHESTER PIKE STE 202
GLEN MILLS PA
19342-8198
US

V. Phone/Fax

Practice location:
  • Phone: 610-557-8903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number318443
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number318443
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: