Basic Information
| Provider Information | |||||||||
| NPI: | 1427288745 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRANCO | ||||||||
| FirstName: | MARLENY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 34TH ST AND CIVIC CENTER BLVD, CTRB 9121 | ||||||||
| Address2: | CHILDREN'S HOSP OF PHILADELPHIA, DIV OF EMERG MED | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155907054 | ||||||||
| FaxNumber: | 2155904454 | ||||||||
| Practice Location | |||||||||
| Address1: | 34TH ST AND CIVIC CENTER BLVD, CTRB 9121 | ||||||||
| Address2: | CHILDREN'S HOSP OF PHILADELPHIA, DIV OF EMERG MEDICINE | ||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 19104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2155907054 | ||||||||
| FaxNumber: | 2155904454 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/21/2009 | ||||||||
| LastUpdateDate: | 06/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PP0204X | MD454649 | PA | Y | Allopathic & Osteopathic Physicians | Emergency Medicine | Pediatric Emergency Medicine | 208000000X | MD14051 | RI | N | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.