Mark William Memolo in Gastonia - Vascular & Interventional Radiology
Mark William Memolo - NPI 1386627115
Mark William Memolo is a Vascular & Interventional Radiology in Gastonia, North Carolina. Mark William Memolo practices all healthcare services and medical treatments related to Vascular & Interventional Radiology. The NPI Number for Mark William Memolo is 1386627115. The last update date is 2010-08-23.
Mark William Memolo's current location address is 620 Summit Crossing Pl, Gastonia, North Carolina. You can contact this provider via phone number 7048678021 and fax number 7048644606. The mailing address for Mark William Memolo is 620 Summit Crossing Pl, Gastonia, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark William Memolo |
|---|---|
| Address | 620 Summit Crossing Pl, Gastonia, North Carolina |
| Phone Number | 7048678021 |
| Fax Number | 7048644606 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1386627115 |
|---|---|
| Provider Enumeration Date | 2005-11-25 |
| Last Updated Date | 2010-08-23 |
Provider Mailing Address Detail
| Address | 620 Summit Crossing Pl |
|---|---|
| City | Gastonia |
| State | North Carolina (NC) |
| Post Code | 28054 |
| Phone Number | 7048678021 |
| Fax Number | 7048644606 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular & Interventional Radiology |
|---|---|
| Taxonomy | 2085R0204X |
| Licence No | 33274 |
|
Definition: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 58609 | BLUE CROSS BLUE SHIELD | ||
| N33274 | SC | -- | |
| 12402 | PARTNERS | ||
| 73411 | MEDCOST | ||
| 8958609 | NC | -- | |
| 2353109 | AETNA HMO | ||
| 4630736 | AETNA PPO | ||
| 300061402 | RAILROAD MEDICARE | ||
| 1642996 | UNITED HEALTHCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mark William Memolo by the Centers for Medicare & Medicaid Services?
The Mark William Memolo has been issued the NPI (National Provider Identifier) 1386627115 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Mark William Memolo's facilities are geographically located?
The facilities of Mark William Memolo are physically situated at the following location: 620 Summit Crossing Pl, Gastonia, NC, 28054.
What is Mark William Memolo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Mark William Memolo is Vascular & Interventional Radiology, and the taxonomy classification code that categorizes this area of expertise is 2085R0204X.
On what date was the 1386627115 assigned to Mark William Memolo?
The Mark William Memolo was issued its 1386627115 on 2005-11-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Mark William Memolo most recently updated or revised?
The details related to Mark William Memolo, including its address, specialty, and other relevant information, were last updated or revised on 2010-08-23.
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