Provider Demographics
NPI:1932193844
Name:CIOFFI, DAVID RAY (DPM)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:RAY
Last Name:CIOFFI
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 ESTELLE DR
Mailing Address - Street 2:STE 2
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-2135
Mailing Address - Country:US
Mailing Address - Phone:717-892-7214
Mailing Address - Fax:717-892-7216
Practice Address - Street 1:816 ESTELLE DR
Practice Address - Street 2:STE 2
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2135
Practice Address - Country:US
Practice Address - Phone:717-892-7214
Practice Address - Fax:717-892-7216
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-07
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002831L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA4506180001Medicare NSC
PACI520219Medicare ID - Type Unspecified
T84861Medicare UPIN