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NPI Code Detail

MEDICARE: MR. AVI S MAROCCO MD

MEDICARE:  MR. AVI S MAROCCO  MD
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
1207R00000XInternal Medicine Physician35077929OH
2207R00000XInternal Medicine Physician35077929MOH

Other Identifiers

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

General Provider Information

NPI Number : 1457343584
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AVI S MAROCCO MD
Provider Business Mailing Address
First Line : 12000 MCCRACKEN RD.
Second Line : SUITE 550
City : GARFIELD HTS
State : OH
Zip : 44125
Country : US
Telephone Number : 216-587-4600
Fax Number : 216-663-0666
Provider Business Practice Location Address
First Line : 12000 MCCRACKEN ROAD
Second Line : SUITE 550
City : GARFIELD HTS
State : OH
Zip : 44125
Country : US
Telephone Number : 216-587-4600
Fax Number : 216-663-0666
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2005
Last Update Date : 09/28/2010

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Directions to “ MR. AVI S MAROCCO MD” Practice Location

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