Provider Demographics
NPI:1316930712
Name:GRASSO, FRANCESCO (MD)
Entity type:Individual
Prefix:
First Name:FRANCESCO
Middle Name:
Last Name:GRASSO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6569 N CHARLES ST
Mailing Address - Street 2:SUITE 502
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-6831
Mailing Address - Country:US
Mailing Address - Phone:410-296-1661
Mailing Address - Fax:410-296-1739
Practice Address - Street 1:6569 N CHARLES ST
Practice Address - Street 2:SUITE 502
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6831
Practice Address - Country:US
Practice Address - Phone:410-296-1661
Practice Address - Fax:410-296-1739
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-31
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0038363174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist