Individual
DR. JOHN JOSEPH FALCONIO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
7975 LANGDON ST, PHILADELPHIA, PA 19111-2933
(215) 725-8545
Mailing address
7975 LANGDON ST, PHILADELPHIA, PA 19111-2933
(215) 725-8545
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC002716L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0976062
—
PA
01
—
FA138176
BLUE SHIELD
PA
Enumeration date
08/10/2005
Last updated
07/08/2007
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