Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 35-094699 | OH |
N | 207RI0011X | Interventional Cardiology | 35-094699 | OH |
NPI | 1023096732 |
---|---|
Provider Name | Dr. Joseph G Cacchione |
First Address | Cleveland, OH 44195-0001 |
Second Address | Cleveland, OH 44195-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2006 |
Last Update Date | 11/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012491600004 | (05) | PA |
060012531 | RR MEDICARE (01) | PA |
3007285 | (05) | OH |
B78190 | (02) | OH |