Provider Demographics
NPI:1639476625
Name:JOSEPH D. PASQUINO DPM, INC.
Entity type:Organization
Organization Name:JOSEPH D. PASQUINO DPM, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:PASQUINO
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:412-829-0909
Mailing Address - Street 1:14806 ROUTE 30
Mailing Address - Street 2:
Mailing Address - City:NORTH HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:15642-1006
Mailing Address - Country:US
Mailing Address - Phone:412-829-0909
Mailing Address - Fax:412-829-9808
Practice Address - Street 1:14806 ROUTE 30
Practice Address - Street 2:
Practice Address - City:NORTH HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642-1006
Practice Address - Country:US
Practice Address - Phone:412-829-0909
Practice Address - Fax:412-829-9808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-28
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002477L213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009232560002Medicaid
PA0009232560002Medicaid
PA443410Medicare PIN