Provider Demographics
NPI:1427288745
Name:FRANCO, MARLENY (MD)
Entity type:Individual
Prefix:
First Name:MARLENY
Middle Name:
Last Name:FRANCO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:34TH ST AND CIVIC CENTER BLVD, CTRB 9121
Mailing Address - Street 2:CHILDREN'S HOSP OF PHILADELPHIA, DIV OF EMERG MED
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104
Mailing Address - Country:US
Mailing Address - Phone:215-590-7054
Mailing Address - Fax:215-590-4454
Practice Address - Street 1:34TH ST AND CIVIC CENTER BLVD, CTRB 9121
Practice Address - Street 2:CHILDREN'S HOSP OF PHILADELPHIA, DIV OF EMERG MEDICINE
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104
Practice Address - Country:US
Practice Address - Phone:215-590-7054
Practice Address - Fax:215-590-4454
Is Sole Proprietor?:No
Enumeration Date:2009-07-21
Last Update Date:2015-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD454649207PP0204X
RIMD14051208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics