Defrancesco, Mark

Defrancesco, Mark is an individual health care provider with primary practice located at 60 Westwood Ave Suite 200, Waterbury CT 06708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Defrancesco, Mark can be contacted via phone (203) 574-5501.

Contact Information

Primary practice address
60 Westwood Ave Suite 200 Waterbury CT 06708
Phone: (203) 574-5501
Fax: (203) 596-0912
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 023375 Connecticut
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 023375 Connecticut

Profile Details

NPI number 1437263357
LBN Legal business name Defrancesco, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2006
Last updated Jan 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437263357 NPPES
Connecticut MEDICAID 001233758

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