Provider Demographics
NPI:1871692715
Name:FRANCO, ALEJANDRO A (MD)
Entity type:Individual
Prefix:
First Name:ALEJANDRO
Middle Name:A
Last Name:FRANCO
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 1:8600 E MARKET ST STE 8
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2375
Mailing Address - Country:US
Mailing Address - Phone:330-398-6933
Mailing Address - Fax:330-288-0586
Practice Address - Street 1:8600 E MARKET ST STE 8
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2375
Practice Address - Country:US
Practice Address - Phone:330-288-0583
Practice Address - Fax:330-288-0586
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35043504208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2528705Medicaid
C01702Medicare UPIN
OHFR0466872Medicare ID - Type Unspecified