Provider Demographics
NPI:1710988258
Name:DEPALMA, JOSEPHINE T (DPM)
Entity Type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:T
Last Name:DEPALMA
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 W RITTENHOUSE SQ
Mailing Address - Street 2:APT 2408
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-5768
Mailing Address - Country:US
Mailing Address - Phone:267-583-0700
Mailing Address - Fax:215-483-9679
Practice Address - Street 1:5735 RIDGE AVE
Practice Address - Street 2:STE 210
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19128-1745
Practice Address - Country:US
Practice Address - Phone:215-483-9610
Practice Address - Fax:215-483-9679
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-09
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002712-L213E00000X, 213EP0504X, 213ER0200X, 213ES0000X, 213ES0103X
PASC002712L213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213EP0504XPodiatric Medicine & Surgery Service ProvidersPodiatristPublic Medicine
No213ER0200XPodiatric Medicine & Surgery Service ProvidersPodiatristRadiology
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASC002712LOtherSTATE LICENSE
PA0010107900006Medicaid
PA0527760001Medicare NSC
PAT30532Medicare UPIN
PA0010107900006Medicaid