Iannucci, Albert Joseph

Iannucci, Albert Joseph is an individual health care provider with primary practice located at 692 Unionville Rd , Kennett Square PA 19348. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Iannucci, Albert Joseph can be contacted via phone (610) 444-6520.

Contact Information

Primary practice address
692 Unionville Rd Kennett Square PA 19348
Fax: (610) 444-2232
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E10000072 Delaware
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC002857L Pennsylvania

Profile Details

NPI number 1588694020
LBN Legal business name Iannucci, Albert Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated May 18th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588694020 NPPES
Delaware Other 0335570001 DMEPOS
Delaware Other 0335570001 DMEPOS
Delaware MEDICAID 0000202717 DMEPOS
Delaware MEDICAID 001040047 DMEPOS

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