Provider Demographics
NPI:1164498861
Name:DIFRANCESCA, JOSEPH WILLIAM (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:WILLIAM
Last Name:DIFRANCESCA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:196 PARKWAY S
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WATERFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06385-1234
Mailing Address - Country:US
Mailing Address - Phone:860-447-1488
Mailing Address - Fax:860-447-1489
Practice Address - Street 1:196 PARKWAY S
Practice Address - Street 2:SUITE 302
Practice Address - City:WATERFORD
Practice Address - State:CT
Practice Address - Zip Code:06385-1219
Practice Address - Country:US
Practice Address - Phone:860-447-1488
Practice Address - Fax:860-447-1489
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT000609213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008017209Medicaid
CT480000569Medicare PIN
CTU49068Medicare UPIN