MEDICARE: DAVID CALDERONE 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	5901001665	MI
2	213ES0103X	Foot & Ankle Surgery Podiatrist	SC003735R	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	1144290115	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4855050000	OTHER	MI	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144290115
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID CALDERONE DPM

Provider Business Mailing Address
First Line	:	170 N POINTE BLVD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4132
Country	:	US
Telephone Number	:	717-299-4871
Fax Number	:	717-391-2494

Provider Business Practice Location Address
First Line	:	170 N POINTE BLVD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17601-4132
Country	:	US
Telephone Number	:	717-299-4871
Fax Number	:	717-391-2494

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

Provider Enumeration Date	:	01/24/2006
Last Update Date	:	09/12/2019

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Directions to “ DAVID CALDERONE DPM” Practice Location

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