MEDICARE: STEPHEN S MARKANTONE, 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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1073782587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STEPHEN S MARKANTONE, DPM

Provider Business Mailing Address
First Line	:	1116 LINCOLN HWY
Second Line	:
City	:	NORTH VERSAILLES
State	:	PA
Zip	:	15137-2134
Country	:	US
Telephone Number	:	412-824-9370
Fax Number	:	412-824-9371

Provider Business Practice Location Address
First Line	:	1116 LINCOLN HWY
Second Line	:
City	:	NORTH VERSAILLES
State	:	PA
Zip	:	15137-2134
Country	:	US
Telephone Number	:	412-824-9370
Fax Number	:	412-824-9371

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. STEPHEN S MARKANTONE
Credential	:	DPM
Telephone Number	:	412-824-9370

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

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