Provider Demographics
NPI:1720491020
Name:FIUMECALDO, DANIEL N (DO)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:N
Last Name:FIUMECALDO
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 EXCELA HEALTH DR STE 202
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-9001
Mailing Address - Country:US
Mailing Address - Phone:724-537-7100
Mailing Address - Fax:724-537-9847
Practice Address - Street 1:100 EXCELA HEALTH DR STE 202
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-9001
Practice Address - Country:US
Practice Address - Phone:724-537-7100
Practice Address - Fax:724-537-9847
Is Sole Proprietor?:No
Enumeration Date:2014-06-04
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1500208600000X
PAOS021726208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery