Individual
DR. FRANCIS J BRACONARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2226 BLAKESLEE BOULEVARD DR E STE 200, LEHIGHTON, PA 18235-9619
(484) 224-9700
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD014503E
PA
207R00000X
Internal Medicine Physician
Primary
MD014503E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006357980005
—
PA
01
—
152308
BLUE SHIELD
PA
01
—
50046146
CAPITAL BLUE CROSS
PA
Enumeration date
01/04/2006
Last updated
12/09/2022
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