Provider Demographics
NPI:1003982497
Name:MICHAEL DIFRANCESCA PODIATRIST LLC
Entity Type:Organization
Organization Name:MICHAEL DIFRANCESCA PODIATRIST LLC
Other - Org Name:ASTON FOOT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIC DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIFRANCESCA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-485-8208
Mailing Address - Street 1:474 CONCHESTER HWY
Mailing Address - Street 2:ROUTE 322
Mailing Address - City:ASTON
Mailing Address - State:PA
Mailing Address - Zip Code:19014-3129
Mailing Address - Country:US
Mailing Address - Phone:610-485-8208
Mailing Address - Fax:610-485-8254
Practice Address - Street 1:474 CONCHESTER HWY
Practice Address - Street 2:ROUTE 322
Practice Address - City:ASTON
Practice Address - State:PA
Practice Address - Zip Code:19014-3129
Practice Address - Country:US
Practice Address - Phone:610-485-8208
Practice Address - Fax:610-485-8254
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-28
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005831213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101316990001Medicaid
PA5688530001Medicare NSC
PAV04366Medicare UPIN
PA097558Medicare PIN