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NPI Code Detail

MEDICARE: RAYMOND GERARD PIEDMONTE M.D.

MEDICARE: RAYMOND GERARD PIEDMONTE M.D.
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
1207P00000XEmergency Medicine Physician01050640IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3930088508OTHERINRAILROAD MEDICARE PIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101050640OTHERINSTATE LICENSE NO.
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4000000354577OTHERINANTHEM PROVIDER NO.

General Provider Information

NPI Number : 1679572531
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYMOND GERARD PIEDMONTE M.D.
Provider Business Mailing Address
First Line : 1100 SOUTHFIELD DR
Second Line : STE 1370
City : PLAINFIELD
State : IN
Zip : 46168-4300
Country : US
Telephone Number : 317-745-4451
Fax Number : 317-718-6740
Provider Business Practice Location Address
First Line : 1000 E MAIN ST
Second Line :
City : DANVILLE
State : IN
Zip : 46122-1948
Country : US
Telephone Number : 317-745-3450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2005
Last Update Date : 03/31/2021

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Directions to “ RAYMOND GERARD PIEDMONTE M.D.” Practice Location

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