Provider Demographics
NPI:1154372290
Name:BRESCIA, FRANCIS XAVIER JR (DO)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:XAVIER
Last Name:BRESCIA
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:722 ALLEGHENY STREET
Mailing Address - Street 2:SUITE 3
Mailing Address - City:DAUPHIN
Mailing Address - State:PA
Mailing Address - Zip Code:17018
Mailing Address - Country:US
Mailing Address - Phone:717-921-2361
Mailing Address - Fax:717-921-3305
Practice Address - Street 1:722 ALLEGHENY STREET
Practice Address - Street 2:SUITE 3
Practice Address - City:DAUPHIN
Practice Address - State:PA
Practice Address - Zip Code:17018
Practice Address - Country:US
Practice Address - Phone:717-921-2361
Practice Address - Fax:717-921-3305
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-13
Last Update Date:2011-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS003926L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0586595Medicaid
D77429Medicare UPIN
PA0586595Medicaid