Marisa Cevasco in Philadelphia - Thoracic Surgery (cardiothoracic Vascular Surgery)
Marisa Cevasco - NPI 1104098169
Marisa Cevasco is a Thoracic Surgery (cardiothoracic Vascular Surgery) in Philadelphia, Pennsylvania. Marisa Cevasco practices all healthcare services and medical treatments related to Thoracic Surgery (cardiothoracic Vascular Surgery). The NPI Number for Marisa Cevasco is 1104098169. The last update date is 2019-05-07.
Marisa Cevasco's current location address is 3400 Spruce St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2156622050 and fax number 2156150829. The mailing address for Marisa Cevasco is 3400 Spruce St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
Provider Name | Marisa Cevasco |
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Address | 3400 Spruce St, Philadelphia, Pennsylvania |
Phone Number | 2156622050 |
Fax Number | 2156150829 |
Sole Proprietor | N |
Credentials | M.D., M.P. |
NPI Number Detail
NPI Number | 1104098169 |
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Provider Enumeration Date | 2008-03-31 |
Last Updated Date | 2019-05-07 |
Provider Mailing Address Detail
Address | 3400 Spruce St |
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City | Philadelphia |
State | Pennsylvania (PA) |
Post Code | 191044238 |
Phone Number | 2156622050 |
Fax Number | 2156150829 |
Provider's Primary Taxonomy Detail
Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) |
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Taxonomy | 208G00000X |
Licence No | 288226 |
Definition: A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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288226 | NY | NYS LICENSE |
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What is the unique identifier code issued to Marisa Cevasco by the Centers for Medicare & Medicaid Services?
The Marisa Cevasco has been assigned the NPI (National Provider Identifier) 1104098169. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Marisa Cevasco?
The Marisa Cevasco is physically situated at 3400 Spruce St, in the city of Philadelphia, state of PA, with the postal code 191044238.
What is the Marisa Cevasco's area of specialization and corresponding taxonomy classification?
The Marisa Cevasco's specialty field is Thoracic Surgery (cardiothoracic Vascular Surgery), and it falls under the taxonomy code 208G00000X, which categorizes healthcare providers based on their specialties.
On what date did the Marisa Cevasco receive the assignment of its 1104098169 from the Centers for Medicare & Medicaid Services?
The Marisa Cevasco was issued its 1104098169 by the Centers for Medicare & Medicaid Services on 2008-03-31.
As of what date were the Marisa Cevasco's details last updated?
The information pertaining to the Marisa Cevasco, including its address, specialty, and other details, was most recently updated on 2019-05-07.