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Individual

DR. JOHN P D'AMELIO

Active
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Individual

DR. JOHN P D'AMELIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103000437
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005906
ANTHEM BLUE CROSS BLUE SH
VA
01
—
15803
OPTIMA HEALTH
VA
01
—
216383
MDIPA
VA
01
—
480021563
RR MCR
VA
01
—
5180770001
DMERC
VA
01
—
5180770002
DMERC
VA
05
—
9301518
—
VA
Enumeration date
03/10/2006
Last updated
04/19/2017
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