Charles A Fracchia JR., M.D.

NPI #1154503498 in Burlingame, California

Provider Information

NPI Number: 1154503498
Entity Type: Individual
Name: Charles A Fracchia JR., M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Credential: M.D.
Enumeration Date: Nov 28, 2007
Last Updated: Nov 28, 2007

Practice Location

Address: 784 WILLBOROUGH RD
City: Burlingame
State: California
ZIP Code: 94010-3719
Phone: (650) 685-7417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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