MEDICARE: DR. RICHARD FRANCIS DZIALO 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	213E00000X	Podiatrist	1607	MA

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	:	1659309730
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD FRANCIS DZIALO D.P.M.

Provider Business Mailing Address
First Line	:	711 JAMES ST
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01020-3913
Country	:	US
Telephone Number	:	413-534-3232
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 JAMES ST
Second Line	:
City	:	CHICOPEE
State	:	MA
Zip	:	01020-3913
Country	:	US
Telephone Number	:	413-534-3232
Fax Number	:

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

Provider Enumeration Date	:	06/29/2006
Last Update Date	:	07/09/2007

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