MEDICARE: HOMECARE PODIATRY LLC

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	213EP1101X	Primary Podiatric Medicine Podiatrist

General Provider Information

NPI Number	:	1356097935
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOMECARE PODIATRY LLC

Provider Business Mailing Address
First Line	:	2207 CONCORD PIKE # 401
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-2908
Country	:	US
Telephone Number	:	302-442-5212
Fax Number	:

Provider Business Practice Location Address
First Line	:	2207 CONCORD PIKE # 401
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-2908
Country	:	US
Telephone Number	:	302-442-5212
Fax Number	:

Authorized Official
Title or Position	:	PODIATRIST
Name	:	DR. PAUL A FRUMENTO
Credential	:	DPM
Telephone Number	:	302-442-5212

Provider Enumeration Date	:	02/23/2022
Last Update Date	:	02/23/2022

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