Provider Demographics
NPI:1619695897
Name:DEFRANCESCO, JOSEPH P (DC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:P
Last Name:DEFRANCESCO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2934 MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-1089
Mailing Address - Country:US
Mailing Address - Phone:860-657-8800
Mailing Address - Fax:
Practice Address - Street 1:2934 MAIN ST STE 1
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-1089
Practice Address - Country:US
Practice Address - Phone:860-657-8800
Practice Address - Fax:860-633-7252
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2269111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor