Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD061235L | PA |
N | 208200000X | Surgeon | MD061235L | PA |
N | 208600000X | Surgeon | MD061235L | PA |
NPI | 1033109533 |
---|---|
Provider Name | Thomas V. Cacciarelli |
First Address | Pittsburgh, PA 15212-4756 |
Second Address | Pittsburgh, PA 15212-4756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2005 |
Last Update Date | 22/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0016866930004 | (05) | PA |
0126997000 | (05) | WV |
2057072 | (05) | OH |