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NPI Code Detail

MEDICARE: DR. RICHARD J MACCHIA M.D.

MEDICARE: DR. RICHARD J MACCHIA 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
1208800000XUrology Physician106515NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720082282
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICHARD J MACCHIA M.D.
Provider Business Mailing Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-2554
Fax Number : 718-270-3848
Provider Business Practice Location Address
First Line : 450 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2056
Country : US
Telephone Number : 718-270-2554
Fax Number : 718-270-3848
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2005
Last Update Date : 10/31/2007

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