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Individual

DR. STACEY LEA DONFRANCESCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4170 CITY AVE, DEPARTMENT OF GRADUATE MEDICAL EDUCATION - ROWLAND HALL, PHILADELPHIA, PA 19131-1610
(215) 871-6693
Mailing address
4601 FLAT ROCK RD, UNIT 16, PHILADELPHIA, PA 19127-2027
(401) 829-8256

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OT014237
PA

Other

Enumeration date
06/10/2011
Last updated
06/10/2011
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