MEDICARE: DR. DANIEL B DEPALMA DPM

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	213E00000X	Podiatrist	SC003088L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	183765	OTHER	PA	ALL THE BLUES & HIGHMARK

General Provider Information

NPI Number	:	1447273685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DANIEL B DEPALMA DPM

Provider Business Mailing Address
First Line	:	358 CALDWELL RD
Second Line	:
City	:	STONEBORO
State	:	PA
Zip	:	16153-2812
Country	:	US
Telephone Number	:	724-376-4172
Fax Number	:	412-741-1332

Provider Business Practice Location Address
First Line	:	358 CALDWELL RD
Second Line	:
City	:	STONEBORO
State	:	PA
Zip	:	16153-2812
Country	:	US
Telephone Number	:	724-376-4172
Fax Number	:	412-741-1332

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

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	01/29/2010

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