MEDICARE: FRANK ALBERT DU PONT III MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	MD045531E	PA
2	2085R0202X	Diagnostic Radiology Physician	25MA08874800	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013943257
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK ALBERT DU PONT III MD

Provider Business Mailing Address
First Line	:	250 KING OF PRUSSIA RD
Second Line	:	3RD FLOOR
City	:	RADNOR
State	:	PA
Zip	:	19087-5235
Country	:	US
Telephone Number	:	610-902-1810
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 KING OF PRUSSIA RD
Second Line	:
City	:	RADNOR
State	:	PA
Zip	:	19087-5235
Country	:	US
Telephone Number	:	610-902-1800
Fax Number	:	610-902-1804

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/12/2012

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