MEDICARE: TERESA M PROPATO D.P.M.

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	213ES0103X	Foot & Ankle Surgery Podiatrist	SC004385L	PA

General Provider Information

NPI Number	:	1306841051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TERESA M PROPATO D.P.M.

Provider Business Mailing Address
First Line	:	1380 EASTON RD STE 12
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-1818
Country	:	US
Telephone Number	:	215-491-1963
Fax Number	:	215-491-1850

Provider Business Practice Location Address
First Line	:	1380 EASTON RD STE 12
Second Line	:
City	:	WARRINGTON
State	:	PA
Zip	:	18976-1818
Country	:	US
Telephone Number	:	215-491-1963
Fax Number	:	215-491-1963

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

Provider Enumeration Date	:	06/19/2005
Last Update Date	:	11/11/2017

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