Provider Demographics
NPI:1467553982
Name:PALERMO, FRANCIS ANTHONY (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:PALERMO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 STANTON-CHRISTIANA ROAD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-994-1100
Mailing Address - Fax:302-994-1599
Practice Address - Street 1:620 STANTON-CHRISTIANA ROAD
Practice Address - Street 2:SUITE 301
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-994-1100
Practice Address - Fax:302-994-1599
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2008-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0002867207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000225501Medicaid
MD092901800Medicaid
DEG02806Medicare PIN
E29936Medicare UPIN
DE0000225501Medicaid