Michael Thomas Cannizzaro, DO | |
700 E Broad St, Hazleton, PA 18201-6835 | |
(570) 501-4193 | |
Not Available |
Full Name | Michael Thomas Cannizzaro |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 700 E Broad St, Hazleton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417585241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS022762 (Pennsylvania) | Primary |
Entity Name | Lehigh Valley Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457309650 PECOS PAC ID: 3072425123 Enrollment ID: O20040227000335 |
Mailing Address | Practice Location Address |
---|---|
Michael Thomas Cannizzaro, DO 500 University Dr, Hershey, PA 17033-2360 Ph: (800) 243-1455 | Michael Thomas Cannizzaro, DO 700 E Broad St, Hazleton, PA 18201-6835 Ph: (570) 501-4193 |
Christopher Hartwell, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 | |
Dr. Annette Marie Mann, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 Fax: 570-501-4109 | |
Dr. Paul J Tayoun, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 101 S Church St, Suite B, Hazleton, PA 18201 Phone: 570-501-1017 Fax: 570-501-2695 | |
Andrew Koons, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 Fax: 570-501-4109 | |
Mr. Daniel Patrick Mchugh, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4193 | |
Jamie Feick, CRNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 E Broad St, Hazleton, PA 18201 Phone: 570-501-4000 |