Individual
DAVID CALDERONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Mailing address
170 N POINTE BLVD, LANCASTER, PA 17601-4132
(717) 299-4871
(717) 391-2494
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
5901001665
MI
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC003735R
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144290115
RAILROAD MEDICARE
MI
05
—
3182954
—
MI
01
—
4855050000
BCBS
MI
Enumeration date
01/24/2006
Last updated
09/12/2019
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