Healthcare Provider Details

I. General information

NPI: 1033868971
Provider Name (Legal Business Name): ISABELLA ROSE SCIACCA COPPOLA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ISABELLA ROSE SCIACCA MD

II. Dates (important events)

Enumeration Date: 03/19/2022
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

IV. Provider business mailing address

500 UNIVERSITY DR MC CA410
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-6597
  • Fax:
Mailing address:
  • Phone: 800-243-1455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberMT233036
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: