MEDICARE: FRANCIS BADAMO MD

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	208600000X	Surgery Physician	21413	WV
2	208600000X	Surgery Physician	MD012881E	PA

General Provider Information

NPI Number	:	1861492704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS BADAMO MD

Provider Business Mailing Address
First Line	:	PO BOX 447
Second Line	:
City	:	DU BOIS
State	:	PA
Zip	:	15801-0447
Country	:	US
Telephone Number	:	814-849-3707
Fax Number	:	814-849-4630

Provider Business Practice Location Address
First Line	:	240 ALLEGHENY BLVD
Second Line	:	SUITE D
City	:	BROOKVILLE
State	:	PA
Zip	:	15825-2323
Country	:	US
Telephone Number	:	814-849-3707
Fax Number	:	814-849-4630

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

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	04/25/2011

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