Provider Demographics
NPI:1063695765
Name:DAVID R. CIOFFI, D.P.M.
Entity type:Organization
Organization Name:DAVID R. CIOFFI, D.P.M.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:R
Authorized Official - Last Name:CIOFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-892-7214
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASC002831L213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT84861Medicare UPIN
PA520219Medicare PIN
PA4506180001Medicare NSC