ALLEN A DZAMBO JR DPM; NPI #1659557361

Contact Information

ALLEN A DZAMBO JR DPM

1200 JEFFERSON ST
LATROBE, PA 15650-1915

Phone: 724-539-3444
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for ALLEN A DZAMBO JR DPM

NPI Number 1659557361

LBN Legal business name ALLEN A DZAMBO JR DPM

Authorized official ALLEN DZAMBO - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/11/2008

Last updated 06/03/2013 - About 13 years ago

Identifiers

PA	License #	SC004642L
PA	Medicaid	17663730003

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ALLEN A DZAMBO JR DPM

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for ALLEN A DZAMBO JR DPM

Reviews for ALLEN A DZAMBO JR DPM