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NPI Code Detail

MEDICARE: DR. DONALD DURAND DIVERIO JR. D.O.

MEDICARE: DR. DONALD DURAND DIVERIO JR. D.O.
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
1207X00000XOrthopaedic Surgery PhysicianOS-007347-EPA
2207X00000XOrthopaedic Surgery PhysicianMB55629NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003810045
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD DURAND DIVERIO JR. D.O.
Provider Business Mailing Address
First Line : 801 OSTRUM ST
Second Line :
City : BETHLEHEM
State : PA
Zip : 18015-1000
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1165 CENTRE TPKE
Second Line :
City : ORWIGSBURG
State : PA
Zip : 17961-9343
Country : US
Telephone Number : 272-639-5130
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2005
Last Update Date : 10/28/2025

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