MEDICARE: DR. RICHARD FRANCIS SPEZIALE 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	SC002503L	PA

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	:	1801891817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD FRANCIS SPEZIALE D.P.M.

Provider Business Mailing Address
First Line	:	1610 JACKSON ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145-3821
Country	:	US
Telephone Number	:	215-755-7566
Fax Number	:

Provider Business Practice Location Address
First Line	:	1713 RITNER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19145
Country	:	US
Telephone Number	:	215-755-7566
Fax Number	:

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

Provider Enumeration Date	:	06/16/2005
Last Update Date	:	10/19/2007

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