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NPI Code Detail

MEDICARE: ANNA DIGIACOMO

MEDICARE:   ANNA  DIGIACOMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialistCO

General Provider Information

NPI Number : 1225610579
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA DIGIACOMO
Provider Business Mailing Address
First Line : 1160 BIRCH ST APT 25
Second Line :
City : DENVER
State : CO
Zip : 80220-6241
Country : US
Telephone Number : 262-719-8078
Fax Number :
Provider Business Practice Location Address
First Line : 1160 BIRCH ST APT 25
Second Line :
City : DENVER
State : CO
Zip : 80220-6241
Country : US
Telephone Number : 262-719-8078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2021
Last Update Date : 04/26/2021

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Directions to “ ANNA DIGIACOMO ” Practice Location

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