Life Change Health P.C.

Organization Active NPI Family Medicine Physician · Wind Gap, PA

NPI 1306332473 · NPPES record last updated Jul 2, 2018

Key facts

NPI
1306332473
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
LIFE CHANGE HEALTH P.C.
Practice address
497 Bushkill Plaza LN Ste B
Wind Gap, PA 18091
Phone
(610) 863-6767
NPI assigned
Jul 2, 2018
Organization subpart
No

Authorized official

Name
Dr. Albert Basil Defranco, MD
Title
Physician/Owner
Phone
(610) 863-6767

National Provider Directory

Locations

497 Bushkill Plaza Ln
Ste B
Wind Gap, PA 18091
Phone (610) 863-6767

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X Yes

Addresses

Primary practice location

497 Bushkill Plaza LN Ste B
Wind Gap, PA 18091

Mailing address

497 Bushkill Plaza LN Ste B
Wind Gap, PA 18091-9665
Phone (610) 863-6767

Other names

  • A. B. DeFranco Family and Alternative Medicine Doing business as

Other providers in Wind Gap, PA

All providers in Wind Gap, PA · Family Medicine Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.