Mario Cornacchione
Family Doctor - Geriatric Medicine
1200 Aleeda Blvd
Bear Creek Township
, Pennsylvania 18702-9611
Mario Cornacchione
Family Doctor - Geriatric Medicine
1200 Aleeda Blvd
Bear Creek Township
, Pennsylvania 18702-9611
(570) 331-3584
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Mario Cornacchione
- 1200 Aleeda Blvd
- Bear Creek Township, PA
- Zip : 18702-9611
- Fax : (570) 331-3584
- Phone : (570) 829-1095
Second Address
- Mario Cornacchione
- 1200 Aleeda Blvd
- Bear Creek Township, PA
- Zip : 18702-9611
- Fax : (570) 331-3584
- Phone : (570) 829-1095
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | OS005253L | PA |
National Provider Identifier
| NPI | 1194807503 |
|---|---|
| Provider Name | Mario Cornacchione |
| First Address | Bear Creek Township, PA 18702-9611 |
| Second Address | Bear Creek Township, PA 18702-9611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2006 |
| Last Update Date | 08/07/2007 |
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.