MEDICARE: DR. MICHAEL J DIFRANCESCA DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213EP1101X	Primary Podiatric Medicine Podiatrist	SC005831	PA

General Provider Information

NPI Number	:	1598711954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL J DIFRANCESCA DPM

Provider Business Mailing Address
First Line	:	474 CONCHESTER HWY
Second Line	:	ROUTE 322
City	:	ASTON
State	:	PA
Zip	:	19014-3129
Country	:	US
Telephone Number	:	610-485-8208
Fax Number	:	610-485-8254

Provider Business Practice Location Address
First Line	:	474 CONCHESTER HWY
Second Line	:	ROUTE 322
City	:	ASTON
State	:	PA
Zip	:	19014-3129
Country	:	US
Telephone Number	:	610-485-8208
Fax Number	:	610-485-8254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	12/04/2009

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