Provider Demographics
NPI:1407881162
Name:DIFRANCO, JOSEPH M (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:M
Last Name:DIFRANCO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 W RIDGE RD STE C1
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-1887
Mailing Address - Country:US
Mailing Address - Phone:814-217-0618
Mailing Address - Fax:833-305-0497
Practice Address - Street 1:3939 W RIDGE RD STE C1
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-1887
Practice Address - Country:US
Practice Address - Phone:814-217-0618
Practice Address - Fax:833-305-0497
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC005909213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV09056Medicare UPIN
PA100516Medicare ID - Type Unspecified