| Zaccone And Petrone Pc | |
|
1439 E Passyunk Ave Philadelphia PA 19147-5610 | |
| (215) 416-5278 | |
| (215) 755-4886 |
| Full Name | Zaccone And Petrone Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1439 E Passyunk Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mark Petrone (SECRETARY) |
| Authorized Official Contact | 2154165278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zaccone And Petrone Pc Po Box 25024 Philadelphia PA 19147-0224 Ph: (215) 416-5278 | Zaccone And Petrone Pc 1439 E Passyunk Ave Philadelphia PA 19147-5610 Ph: (215) 416-5278 |
| NPI Number | 1730134354 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1951387711 |
|---|---|
| Medicare Enrollment ID | O20040624000940 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730134354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | BP4578970 (Pennsylvania) | Primary |
| Provider Name | Marc C Petrone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538118690 PECOS PAC ID: 5496794323 Enrollment ID: I20050429000010 |
| Provider Name | William Zaccone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659320653 PECOS PAC ID: 2961442280 Enrollment ID: I20050505001113 |
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