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DR. DAVID A SCALZO DPM
Foot & Ankle Surgery >> Podiatrist >> Podiatric Medicine & Surgery Service ProvidersRegistrant NPI Number: 1477508000
Individual Registrant:DR. DAVID A SCALZO DPM
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
203 FOOTE AVE DURYEA, PA 18642-1408 US
Tel: 570-457-4560 Fax: 570-457-4562
Tel: 570-457-4560 Fax: 570-457-4562
Contact information for business:
203 FOOTE AVE DURYEA, PA 18642-1408 US
Tel: 570-457-4560 Fax: 570-457-4562
Tel: 570-457-4560 Fax: 570-457-4562
Registration Information:
NPI: 1477508000
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 213ES0103X | Podiatric Medicine & Surgery Service Providers Podiatrist Foot & Ankle Surgery | PA | SC004196L |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| GEISINGER HEALTH PLAN | 43293 | PA | 01 |
| PENNSYLVANIA BLUE SHIELD | 038773 | PA | 01 |
| 0017229870004 | PA | 05 |
