MEDICARE: DR. MARY E DEFRANCISCO M.D.

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	207W00000X	Ophthalmology Physician	MD026678E	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00278065	OTHER	PA	RR MEDICARE INDIVIDUAL ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	3615332	OTHER	PA	AETNA INDIVIDUAL ID
3	0053262000	OTHER	PA	IBC INDIVIDUAL ID
4	1241800	OTHER	PA	CIGNA INDIVIDUAL ID

General Provider Information

NPI Number	:	1881681435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY E DEFRANCISCO M.D.

Provider Business Mailing Address
First Line	:	616 HILLENDALE RD
Second Line	:
City	:	CHADDS FORD
State	:	PA
Zip	:	19317-9364
Country	:	US
Telephone Number	:	215-673-1500
Fax Number	:

Provider Business Practice Location Address
First Line	:	2818 COTTMAN AVE
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19149-1419
Country	:	US
Telephone Number	:	215-331-4141
Fax Number	:	215-338-0167

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	04/17/2008

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Directions to “ DR. MARY E DEFRANCISCO M.D.” Practice Location

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