Mazzaccaro, Richard

Mazzaccaro, Richard is an individual health care provider with primary practice located at Cedar Crest Blvd & I-78 , Allentown PA 18103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Mazzaccaro, Richard can be contacted via phone (610) 402-6700.

Contact Information

Primary practice address
Cedar Crest Blvd & I-78 Allentown PA 18103
Phone: (610) 402-6700
Fax: (610) 402-6744
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD421920 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MD421920 Pennsylvania

Profile Details

NPI number 1851323224
LBN Legal business name Mazzaccaro, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Oct 17th, 2016 - about 8 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 1851323224 NPPES
Pennsylvania MEDICAID 101027932

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