Individual
CHARLES A FRACCHIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
784 WILLBOROUGH RD, BURLINGAME, CA 94010-3719
(650) 685-7417
Mailing address
784 WILLBOROUGH RD, BURLINGAME, CA 94010-3719
(650) 685-7417
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G40084
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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