MEDICARE: DR. MICHAEL FIOCCO M.D.

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	D39718	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295738508
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FIOCCO M.D.

Provider Business Mailing Address
First Line	:	6201 GREENLEIGH AVE FL 2
Second Line	:
City	:	MIDDLE RIVER
State	:	MD
Zip	:	21220-2004
Country	:	US
Telephone Number	:	410-933-2704
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 E. UNIVERSITY PARKWAY
Second Line	:	JPB LL08
City	:	BALTIMORE
State	:	MD
Zip	:	21218-2829
Country	:	US
Telephone Number	:	410-554-6550
Fax Number	:	410-554-6599

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	10/14/2024

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Directions to “ DR. MICHAEL FIOCCO M.D.” Practice Location

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