Organization
DAVID A SCALZO D.P.M.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID A SCALZO DPM (DOCTOR)
(570) 457-4560
Entity
Organization
Contact information
Practice address
203 FOOTE AVE, DURYEA, PA 18642-1408
(570) 457-4560
(570) 457-4562
Mailing address
203 FOOTE AVE, DURYEA, PA 18642-1408
(570) 457-4560
(570) 457-4562
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC004196L
PA
332B00000X
Durable Medical Equipment & Medical Supplies
SC004196L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002138536
PENNSYLVANIA BLUE SHEILD
PA
05
—
1021229540001
—
PA
01
—
5386
GEISINGER HEALTH PLAN
PA
Enumeration date
11/02/2007
Last updated
08/10/2012
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