Charles A Fracchia JR. M.D.

NPI 1154503498 - General Practice - 208D00000X

NPI Details
NPI 1154503498
Gender Male
Enumeration Date 11/28/2007
Last Updated 11/28/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
784 WILLBOROUGH RD
BURLINGAME CA, 94010-3719, US
Phone (650) 685-7417
Fax
Business Location
784 WILLBOROUGH RD
BURLINGAME CA, 94010-3719, US
Phone (650) 685-7417
Fax
Toxanomy
Taxonomy Code 208D00000X
License State California
License Number G40084
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According to our database, Charles A Fracchia JR. M.D. NPI is 1154503498, taxonomy code is 208D00000X and license number is G40084, license state is located at California. Charles A Fracchia JR. M.D. physically located at 784 Willborough Rd, Burlingame CA, 94010-3719. NPI Number Charles A Fracchia JR. M.D. has the Individual type.

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1154503498 NPI number is provided on an as is basis without warranty of any kind. 1154503498 is maintained by the National Plan & Provider Enumeration System. The contents of Charles A Fracchia JR. M.D. are for informational purposes only.