Basic Information
Provider Information
NPI: 1609855212
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEFRANCESCO
FirstName: CHARLES
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1699 WASHINGTON RD
Address2: STE 307
City: PITTSBURGH
State: PA
PostalCode: 152281629
CountryCode: US
TelephoneNumber: 4128313744
FaxNumber: 4128315663
Practice Location
Address1: 100 BRUSH RUN RD
Address2:  
City: GREENSBURG
State: PA
PostalCode: 156018753
CountryCode: US
TelephoneNumber: 7246910354
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/12/2006
LastUpdateDate: 04/27/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XMD029492EPAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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