Healthcare Provider Details

I. General information

NPI: 1225023237
Provider Name (Legal Business Name): HOWARD JAMES PALAMARCHUK DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 05/02/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE 8TH AT RACE STREET
PHILADELPHIA PA
19117-2496
US

IV. Provider business mailing address

TEMPLE UNIVERSITY FOOT AND ANKLE INSTITUTE PO BOX 827282
PHILADELPHIA PA
19182-0001
US

V. Phone/Fax

Practice location:
  • Phone: 215-238-6600
  • Fax: 215-629-4905
Mailing address:
  • Phone: 215-238-6600
  • Fax: 215-629-0716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC002121L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: