Individual
MR. MICHAEL GERARD DEPALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.C.
Contact information
Practice address
2201 BRUNSWICK DR STE 1200, HANOVER, PA 17331-8350
(717) 637-0470
Mailing address
2201 BRUNSWICK DR STE 1200, HANOVER, PA 17331-8350
(717) 637-0470
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA051333
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1587595
GATEWAY MEDICARE ASSURED
PA
01
—
2696619
HIGHMARK BLUE SHIELD - FREEDOM BLUE
PA
Enumeration date
04/06/2006
Last updated
01/16/2021
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