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NPI Code Detail

MEDICARE: MARIA JOSE SOTOMAYOR-GIACOMUCCI

MEDICARE: MARIA JOSE SOTOMAYOR-GIACOMUCCI
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
1390200000XStudent in an Organized Health Care Education/Training ProgramPA
2104100000XSocial WorkerSW139422PA

General Provider Information

NPI Number : 1538826391
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA JOSE SOTOMAYOR-GIACOMUCCI
Provider Business Mailing Address
First Line : 524 N PROVIDENCE RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-3056
Country : US
Telephone Number : 484-440-9416
Fax Number : 484-551-0474
Provider Business Practice Location Address
First Line : 524 N PROVIDENCE RD
Second Line :
City : MEDIA
State : PA
Zip : 19063-3056
Country : US
Telephone Number : 484-440-9416
Fax Number : 484-551-0474
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2021
Last Update Date : 06/25/2022

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Directions to “ MARIA JOSE SOTOMAYOR-GIACOMUCCI ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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