MEDICARE: DR. FRANK P ADAMO D.P.M.

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	SC004816L	PA

General Provider Information

NPI Number	:	1649225814
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANK P ADAMO D.P.M.

Provider Business Mailing Address
First Line	:	153 HENDERSON AVENUE
Second Line	:
City	:	GULPH MILLS
State	:	PA
Zip	:	19428
Country	:	US
Telephone Number	:	610-940-6976
Fax Number	:	610-583-3187

Provider Business Practice Location Address
First Line	:	550 MACDADE BLVD
Second Line	:
City	:	FOLSOM
State	:	PA
Zip	:	19033-2318
Country	:	US
Telephone Number	:	610-534-7990
Fax Number	:	610-583-3187

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	07/08/2007

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