Provider Demographics
NPI:1710272448
Name:DONFRANCESCO, STACEY LEA (DO)
Entity Type:Individual
Prefix:DR
First Name:STACEY
Middle Name:LEA
Last Name:DONFRANCESCO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:4601 FLAT ROCK RD
Mailing Address - Street 2:UNIT 16
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19127-2027
Mailing Address - Country:US
Mailing Address - Phone:401-829-8256
Mailing Address - Fax:
Practice Address - Street 1:4170 CITY AVE
Practice Address - Street 2:DEPARTMENT OF GRADUATE MEDICAL EDUCATION - ROWLAND HALL
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19131-1610
Practice Address - Country:US
Practice Address - Phone:215-871-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOT014237208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery