Dr. Matthew V Zaccheo
Internist Critical Care Medicine
111 S Front St
Harrisburg
, Pennsylvania 17101-2010
Dr. Matthew V Zaccheo
Internist Critical Care Medicine
111 S Front St
Harrisburg
, Pennsylvania 17101-2010
(717) 231-8435
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Dr. Matthew V Zaccheo
- 111 S Front St
- Harrisburg, PA
- Zip : 17101-2010
- Fax : (717) 231-8435
- Phone : (717) 231-8772
Second Address
- Dr. Matthew V Zaccheo
- 111 S Front St
- Harrisburg, PA
- Zip : 17101-2010
- Fax : (717) 231-8435
- Phone : (717) 231-8772
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | OS012450 | PA |
| N | 111NI0900X | Internist | OS012450 | PA |
| N | 207RC0200X | Critical Care Medicine | 5101018545 | MI |
| Y | 207RC0200X | Critical Care Medicine | OS012450 | PA |
National Provider Identifier
| NPI | 1033173257 |
|---|---|
| Provider Name | Dr. Matthew V Zaccheo |
| First Address | Harrisburg, PA 17101-2010 |
| Second Address | Harrisburg, PA 17101-2010 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2006 |
| Last Update Date | 14/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00027186402 | UNIVERA (01) | NY |
| 02833796 | NY MEDICAID (01) | NY |
| 1010579960002 | (05) | PA |
| 1033173267 | (05) | MI |
| 1071104 | W. VIRGINIA WORKERS COMP (01) | WV |
| 1255304358 | (05) | MI |
| 1417961137 | BCBSM - BMH (01) | MI |
| 1417961137 | BCBSM - BMH TAX ID (01) | MI |
| 1427756 | AETNA (01) | PA |
| 1540527 | GATEWAY (01) | PA |
| 1633761 | BLUE SHIELD (01) | PA |
| 197616 | UNISON (01) | PA |
| 2702892 | OH MEDICAID (01) | OH |
| 410337 | UPMC (01) | PA |
| I16471 | (02) | PA |
| P00380522 | RR MEDICARE (01) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.