Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC003295L | PA |
NPI | 1255339651 |
---|---|
Provider Name | Alan Sclafani |
First Address | Lancaster, PA 17601-4604 |
Second Address | Lancaster, PA 17601-4604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/07/2005 |
Last Update Date | 22/06/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
078357 | (02) | PA |
1255339651 | NPI (01) | PA |