Stacey Louise Mazzacco in Lancaster - Vascular Surgery

Stacey Louise Mazzacco - NPI 1265413207

Stacey Louise Mazzacco is a Vascular Surgery in Lancaster, Pennsylvania. Stacey Louise Mazzacco practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Stacey Louise Mazzacco is 1265413207. The last update date is 2020-09-30.

Stacey Louise Mazzacco's current location address is 2104 Harrisburg Pike Ste 200, Lancaster, Pennsylvania. You can contact this provider via phone number 7175443626 and fax number 7175443628. The mailing address for Stacey Louise Mazzacco is 2104 Harrisburg Pike Ste 200, Lancaster, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacey Louise Mazzacco
Address 2104 Harrisburg Pike Ste 200, Lancaster, Pennsylvania
Phone Number 7175443626
Fax Number 7175443628
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1265413207
Provider Enumeration Date 2005-11-08
Last Updated Date 2020-09-30

Provider Mailing Address Detail

Address 2104 Harrisburg Pike Ste 200
City Lancaster
State Pennsylvania (PA)
Post Code 176012644
Phone Number 7175443626
Fax Number 7175443628

Provider's Primary Taxonomy Detail

Speciality Vascular Surgery
Taxonomy 2086S0129X
Licence No MD053932L
Definition:
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
178844 PA --
20048899 PA RAILROAD MEDICARE

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FAQs about Stacey Louise Mazzacco

What is the unique 10-digit identification code issued to Stacey Louise Mazzacco by the Centers for Medicare & Medicaid Services?

The Stacey Louise Mazzacco has been assigned the NPI (National Provider Identifier) 1265413207 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Where is the Stacey Louise Mazzacco located?

The Stacey Louise Mazzacco is located at 2104 Harrisburg Pike Ste 200, Lancaster, PA 176012644.

What is Stacey Louise Mazzacco'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 Stacey Louise Mazzacco is Vascular Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0129X.

When did the Stacey Louise Mazzacco receive its 1265413207?

The Stacey Louise Mazzacco was issued its 1265413207 on 2005-11-08, which is the date when the organization was assigned this unique identifier.

When was the information regarding Stacey Louise Mazzacco, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Stacey Louise Mazzacco, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-09-30.

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