Provider Demographics
NPI:1447273685
Name:DEPALMA, DANIEL B (DPM)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:B
Last Name:DEPALMA
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:358 CALDWELL RD
Mailing Address - Street 2:
Mailing Address - City:STONEBORO
Mailing Address - State:PA
Mailing Address - Zip Code:16153-2812
Mailing Address - Country:US
Mailing Address - Phone:724-376-4172
Mailing Address - Fax:412-741-1332
Practice Address - Street 1:358 CALDWELL RD
Practice Address - Street 2:
Practice Address - City:STONEBORO
Practice Address - State:PA
Practice Address - Zip Code:16153-2812
Practice Address - Country:US
Practice Address - Phone:724-376-4172
Practice Address - Fax:412-741-1332
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PASC003088L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA183765OtherALL THE BLUES & HIGHMARK
PA183765OtherALL THE BLUES & HIGHMARK
PAT29997Medicare UPIN