MEDICARE: DR. MARTIN A DEFRANCESCO MD

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	207V00000X	Obstetrics & Gynecology Physician	9300077	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770501835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTIN A DEFRANCESCO MD

Provider Business Mailing Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	SUITE 100
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-0089
Fax Number	:	336-538-0097

Provider Business Practice Location Address
First Line	:	1041 KIRKPATRICK RD
Second Line	:	SUITE 100
City	:	BURLINGTON
State	:	NC
Zip	:	27215-8148
Country	:	US
Telephone Number	:	336-538-0089
Fax Number	:	336-538-0097

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

Provider Enumeration Date	:	07/17/2006
Last Update Date	:	02/11/2014

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