Provider Demographics
NPI:1255339651
Name:SCLAFANI, ALAN (DPM)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:SCLAFANI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2183 OREGON PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-4604
Mailing Address - Country:US
Mailing Address - Phone:717-569-3356
Mailing Address - Fax:717-569-3428
Practice Address - Street 1:2183 OREGON PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4604
Practice Address - Country:US
Practice Address - Phone:717-569-3356
Practice Address - Fax:717-569-3428
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-09
Last Update Date:2014-06-22
Deactivation Date:2006-03-16
Deactivation Code:
Reactivation Date:2006-03-23
Provider Licenses
StateLicense IDTaxonomies
PASC003295L213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1255339651OtherNPI
PA078357Medicare ID - Type UnspecifiedPODIATRIST
PA078357Medicare UPIN