Provider Demographics
NPI:1740255033
Name:SANTUCCI, FRANCESCO (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCESCO
Middle Name:
Last Name:SANTUCCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4747 LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-2032
Mailing Address - Country:US
Mailing Address - Phone:412-325-0060
Mailing Address - Fax:412-325-0061
Practice Address - Street 1:4747 LIBERTY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15224-2032
Practice Address - Country:US
Practice Address - Phone:412-325-0060
Practice Address - Fax:412-235-0061
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD039838L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA011106040Medicaid
PA127912PD8Medicare ID - Type Unspecified