Stacey Ann Dimitriou-Ciacc in Philadelphia - Physician Assistant
Stacey Ann Dimitriou-Ciacc - NPI 1396788766
Stacey Ann Dimitriou-Ciacc is a Physician Assistant in Philadelphia, Pennsylvania. Stacey Ann Dimitriou-Ciacc practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Stacey Ann Dimitriou-Ciacc is 1396788766. The last update date is 2007-07-08.
Stacey Ann Dimitriou-Ciacc's current location address is Po Box 13700-1378, Philadelphia, Pennsylvania. You can contact this provider via phone number 8006662455 and fax number 6106176280. The mailing address for Stacey Ann Dimitriou-Ciacc is Po Box 13700-1378, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacey Ann Dimitriou-Ciacc |
|---|---|
| Address | Po Box 13700-1378, Philadelphia, Pennsylvania |
| Phone Number | 8006662455 |
| Fax Number | 6106176280 |
| Sole Proprietor | X |
| Credentials | RPA C |
NPI Number Detail
| NPI Number | 1396788766 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 13700-1378 |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 191911378 |
| Phone Number | 8006662455 |
| Fax Number | 6106176280 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 9689 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Stacey Ann Dimitriou-Ciacc by the Centers for Medicare & Medicaid Services?
The Stacey Ann Dimitriou-Ciacc has been issued the NPI (National Provider Identifier) 1396788766 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Stacey Ann Dimitriou-Ciacc is located?
The Stacey Ann Dimitriou-Ciacc is situated at the following address: Po Box 13700-1378, Philadelphia, PA, 191911378.
What is the Stacey Ann Dimitriou-Ciacc's specialty and taxonomy code?
The Stacey Ann Dimitriou-Ciacc's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1396788766 to Stacey Ann Dimitriou-Ciacc?
The Centers for Medicare & Medicaid Services originally issued the 1396788766 to Stacey Ann Dimitriou-Ciacc on 2006-06-14.
When was the Stacey Ann Dimitriou-Ciacc's information last updated?
The Stacey Ann Dimitriou-Ciacc's information was last updated on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY