Individual
DANIEL CARMINE DE FALCIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4811 JONESTOWN RD, SUITE 123, HARRISBURG, PA 17109-1745
(717) 651-5800
(717) 651-5808
Mailing address
4811 JONESTOWN RD, SUITE 123, HARRISBURG, PA 17109-1745
(717) 651-5800
(717) 651-5808
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD065894L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016928000006
—
PA
05
—
0016992800003
—
PA
01
—
01020802
CAPITAL BLUE CROSS
—
01
—
130772
MEDPLUS 3 RIVERS
—
01
—
1527661
GATEWAY
—
05
—
1699280
—
PA
01
—
20019902
AMERIHEALTH MERCY NON PAR
—
01
—
2103000
MAMSI
—
01
—
2697173
AETNA
—
01
—
400034000
MARYLAND MEDICAID
—
01
—
41790
GEISINGER HEALTH PLAN
—
01
—
974483
BLUE SHIELD
—
01
—
CE1386745
BLUE SHIELD ASSGN ACCT
—
01
—
G37593
SOUTH CENTRAL PREFERRED
—
01
—
N86745
AMERIHEALTH ADMINISTRATOR
—
01
—
P00431001
RAIL ROAD MEDICARE
PA
Enumeration date
09/14/2005
Last updated
12/10/2020
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