Healthcare Provider Details

I. General information

NPI: 1013097484
Provider Name (Legal Business Name): DELAWARE COUNTY FOOT AND ANKLE CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 MACDADE BLVD
FOLSOM PA
19033-2318
US

IV. Provider business mailing address

153 HENDERSON AVE
GULPH MILLS PA
19428-2521
US

V. Phone/Fax

Practice location:
  • Phone: 610-534-7990
  • Fax: 610-583-3187
Mailing address:
  • Phone: 610-940-6976
  • Fax: 610-583-3187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License NumberSC04816L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. FRANK P. ADAMO
Title or Position: OWNER
Credential: DPM
Phone: 610-534-7990