Provider Demographics
NPI:1649225814
Name:ADAMO, FRANK P (DPM)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:P
Last Name:ADAMO
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:153 HENDERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:GULPH MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19428
Mailing Address - Country:US
Mailing Address - Phone:610-940-6976
Mailing Address - Fax:610-583-3187
Practice Address - Street 1:550 MACDADE BLVD
Practice Address - Street 2:
Practice Address - City:FOLSOM
Practice Address - State:PA
Practice Address - Zip Code:19033-2318
Practice Address - Country:US
Practice Address - Phone:610-534-7990
Practice Address - Fax:610-583-3187
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC004816L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV05042Medicare UPIN
PA090991PFZMedicare ID - Type Unspecified