Healthcare Provider Details

I. General information

NPI: 1356097935
Provider Name (Legal Business Name): HOMECARE PODIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 02/23/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2207 CONCORD PIKE # 401
WILMINGTON DE
19803-2908
US

IV. Provider business mailing address

2207 CONCORD PIKE # 401
WILMINGTON DE
19803-2908
US

V. Phone/Fax

Practice location:
  • Phone: 302-442-5212
  • Fax:
Mailing address:
  • Phone: 302-442-5212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. PAUL A FRUMENTO
Title or Position: PODIATRIST
Credential: DPM
Phone: 302-442-5212