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NPI Code Detail

MEDICARE: JOSEPH T MACIOCE DO

MEDICARE: JOSEPH T MACIOCE DO
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 PhysicianOS011896PA
2208M00000XHospitalist PhysicianOS011896PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11407247OTHERPAHIGHMARK
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598757874
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH T MACIOCE DO
Provider Business Mailing Address
First Line : 520 JEFFERSON AVE
Second Line : SUITE 400
City : JEANNETTE
State : PA
Zip : 15644-2538
Country : US
Telephone Number : 724-527-8060
Fax Number : 724-527-4002
Provider Business Practice Location Address
First Line : 532 W PITTSBURGH ST
Second Line :
City : GREENSBURG
State : PA
Zip : 15601-2239
Country : US
Telephone Number : 724-850-6957
Fax Number : 724-830-8613
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 02/03/2017

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