| Anthony L Cacco Md Pc | |
|
595 Barclay Cir Ste D Rochester Hills MI 48307-5802 | |
| (248) 852-5355 | |
| (248) 852-8411 |
| Full Name | Anthony L Cacco Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 595 Barclay Cir, Rochester Hills, Michigan |
| Authorized Official Name and Position | Anthony L Cacco (OWNER) |
| Authorized Official Contact | 2488525355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony L Cacco Md Pc 595 Barclay Cir Ste D Rochester Hills MI 48307-5802 Ph: (248) 852-5355 | Anthony L Cacco Md Pc 595 Barclay Cir Ste D Rochester Hills MI 48307-5802 Ph: (248) 852-5355 |
| NPI Number | 1235470162 |
|---|---|
| Provider Enumeration Date | 03/01/2013 |
| Last Update Date | 12/20/2022 |
| Medicare PECOS PAC ID | 1153564620 |
|---|---|
| Medicare Enrollment ID | O20130830000793 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235470162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301094178 (Michigan) | Primary |
| Provider Name | Anthony L Cacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508009192 PECOS PAC ID: 2062655533 Enrollment ID: I20130905000869 |
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