Healthcare Provider Details
I. General information
NPI: 1013983303
Provider Name (Legal Business Name): THOMAS J FRANCO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 02/27/2006
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3824 NORTHERN PIKE
MONROEVILLE PA
15146
US
IV. Provider business mailing address
3824 NORTHERN PIKE SUITE 200
MONROEVILLE PA
15146
US
V. Phone/Fax
- Phone: 412-373-6342
- Fax: 412-373-6347
- Phone: 412-457-0060
- Fax: 412-457-0092
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0202X |
| Taxonomy | Diagnostic Radiology Physician |
| License Number | MD064599L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0204X |
| Taxonomy | Vascular & Interventional Radiology Physician |
| License Number | MD064599L |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: