# DAVID A SCALZO D.P.M.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598944936
- **Authorized official:** DR. DAVID A SCALZO DPM (DOCTOR)
- **Authorized official phone:** (570) 457-4560

## Contact information

- **Practice address:** 203 FOOTE AVE, DURYEA, PA 18642-1408
- **Practice address phone:** (570) 457-4560
- **Practice address fax:** (570) 457-4562
- **Mailing address:** 203 FOOTE AVE, DURYEA, PA 18642-1408
- **Mailing address phone:** (570) 457-4560
- **Mailing address fax:** (570) 457-4562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC004196L | PA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | SC004196L | PA | — |

## Other

- **Enumeration date:** 11/02/2007
- **Last updated:** 08/10/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 002138536 | PENNSYLVANIA BLUE SHEILD | PA |
| 05 | — | 1021229540001 | — | PA |
| 01 | — | 5386 | GEISINGER HEALTH PLAN | PA |