Macciocca, Michael
Macciocca, Michael is an individual health care provider with primary practice located at 100 E Lancaster Ave , Wynnewood PA 19096. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Macciocca, Michael can be contacted via phone (484) 476-1000.Contact Information
Primary practice address
100 E Lancaster Ave
Wynnewood PA 19096
Phone: (484) 476-1000
Fax: (484) 476-9000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25MA09075400 | New Jersey |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD444353 | Pennsylvania |
Profile Details
| NPI number | 1700012820 |
|---|---|
| LBN Legal business name | Macciocca, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2009 |
| Last updated | Jun 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700012820 | NPPES |
| New Jersey | Other | 343723DQU | MEDICARE |
| New Jersey | MEDICAID | MT195033 | MEDICARE |
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