Healthcare Provider Details

I. General information

NPI: 1467508614
Provider Name (Legal Business Name): DONALD JOSEPH CAMARDA D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/27/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 PULIDO CT
DANVILLE CA
94526-1623
US

IV. Provider business mailing address

43 PULIDO CT
DANVILLE CA
94526-1623
US

V. Phone/Fax

Practice location:
  • Phone: 925-820-7492
  • Fax: 925-820-9022
Mailing address:
  • Phone: 925-820-7492
  • Fax: 925-820-9022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberE26770
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: