Provider Demographics
NPI:1639203136
Name:D'ERCOLE, FRANCINE J (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCINE
Middle Name:J
Last Name:D'ERCOLE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 271647
Mailing Address - Street 2:UNC FP
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-1647
Mailing Address - Country:US
Mailing Address - Phone:919-929-8515
Mailing Address - Fax:
Practice Address - Street 1:DEPT OF ANESTHESIOLOGY N2198 UNC HOSPITALS
Practice Address - Street 2:CAMPUS BOX 7010
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-7010
Practice Address - Country:US
Practice Address - Phone:919-966-5136
Practice Address - Fax:984-974-4873
Is Sole Proprietor?:No
Enumeration Date:2007-03-15
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC93-00446207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8928169Medicaid
NC1639203136OtherNPI
NC8928169Medicaid