Maccioli, Gerald Anthony

Maccioli, Gerald Anthony is an individual health care provider with primary practice located at 3400 Wake Forest Rd , Raleigh NC 27609-7317. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Maccioli, Gerald Anthony can be contacted via phone (919) 954-3765.

Contact Information

Primary practice address
3400 Wake Forest Rd Raleigh NC 27609-7317
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 29769 North Carolina
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 29769 North Carolina

Profile Details

NPI number 1104937085
LBN Legal business name Maccioli, Gerald Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 3rd, 2015 - about 9 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 1104937085 NPPES
North Carolina MEDICAID 89132EW
North Carolina Other 050011528
North Carolina Other 132EW
North Carolina Other 57292
North Carolina Other 6715051
North Carolina Other 24432

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