Doctor Name: | MR. MICHAEL GERARD DEPALMA |
NPI Number: | 1023071677 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A.C. |
License Number: | MA051333 |
Business Practice Address: | 207 Blooming Grove Rd Hanover, PA - 173317917 |
Business Phone Number: | 7176325259 |
Business Fax Number: | 7176322422 |
Mailing Address: | 1803 Mount Rose Ave, Suite B3 YORK |
State: | PA |
Postal Code: | 174033026 |
Phone Number: | 7178511405 |
Fax Number: | 7176322422 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 06/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA051333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |