Provider Demographics
NPI:1013097484
Name:DELAWARE COUNTY FOOT AND ANKLE CENTER, P.C.
Entity Type:Organization
Organization Name:DELAWARE COUNTY FOOT AND ANKLE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:P
Authorized Official - Last Name:ADAMO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:610-534-7990
Mailing Address - Street 1:153 HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:GULPH MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2521
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC04816L213EP1101X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric MedicineGroup - Single Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PADF1955OtherPA RAILROAD MCR
PA5910950001Medicare NSC
PAV05042Medicare UPIN
PA104504Medicare PIN