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Individual
DR. WILLIAM THOMAS DEFEO
Active
Individual
DR. WILLIAM THOMAS DEFEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001701L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0041080000
INDEPENDENCE BLUE CROSS
PA
01
—
01188301
CAPITOL BLUE CROSS
PA
01
—
02345900
CAPITAL BLUE CROSS
PA
Enumeration date
09/20/2006
Last updated
11/17/2009
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