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Individual

MARK T DEFRANCISCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1371 W MAIN ST, NEWARK, OH 43055-3681
(220) 564-1965
(220) 564-1966
Mailing address
1371 W MAIN ST, NEWARK, OH 43055-3681
(220) 564-1965
(220) 564-1966

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
34.006764
OH
2086S0129X
Vascular Surgery Physician
Primary
83058
SC

Other

Enumeration date
06/09/2006
Last updated
03/18/2021
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