Provider Demographics
NPI:1902105604
Name:ABADCO, DARLEEN (DPM)
Entity Type:Individual
Prefix:DR
First Name:DARLEEN
Middle Name:
Last Name:ABADCO
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4048 SAINT ANDREWS CT APT 4
Mailing Address - Street 2:
Mailing Address - City:CANFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44406-9079
Mailing Address - Country:US
Mailing Address - Phone:337-654-4320
Mailing Address - Fax:330-746-8581
Practice Address - Street 1:1300 S. CANFIELD NILES RD
Practice Address - Street 2:
Practice Address - City:AUSTINTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515
Practice Address - Country:US
Practice Address - Phone:330-792-6519
Practice Address - Fax:330-792-9911
Is Sole Proprietor?:No
Enumeration Date:2011-03-21
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003621213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery