Provider Demographics
NPI:1518958446
Name:DELMONICO, FRANCIS LEO (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:LEO
Last Name:DELMONICO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-2825
Mailing Address - Fax:617-726-9229
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:WHT 505
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-2825
Practice Address - Fax:617-726-9229
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2012-07-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA37207208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAE05269OtherBCBS MA
MA0176702Medicaid
MA708685OtherTUFTS HEALTH PLAN
MAE05269OtherBCBS MA
MA0176702Medicaid