MEDICARE: ALFONSO HARO DPM

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	493	NC

Other Identifiers

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

General Provider Information

NPI Number	:	1013902865
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALFONSO HARO DPM

Provider Business Mailing Address
First Line	:	200 WESTGATE DR
Second Line	:	SUITE A
City	:	WEST END
State	:	NC
Zip	:	27376-8038
Country	:	US
Telephone Number	:	910-295-7400
Fax Number	:	910-295-9262

Provider Business Practice Location Address
First Line	:	200 WESTGATE DR
Second Line	:	SUITE A
City	:	WEST END
State	:	NC
Zip	:	27376-8038
Country	:	US
Telephone Number	:	910-295-7400
Fax Number	:	910-295-9262

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/17/2014

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Directions to “ ALFONSO HARO DPM” Practice Location

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