Sacco, Matthew Anthony

Sacco, Matthew Anthony is an individual health care provider with primary practice located at 420 S Jackson St , Pottsville PA 17901-3625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Sacco, Matthew Anthony can be contacted via phone (570) 621-5325.

Contact Information

Primary practice address
420 S Jackson St Pottsville PA 17901-3625
Phone: (570) 621-5325
Fax: (570) 621-5325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD028724E Pennsylvania

Profile Details

NPI number 1275533291
LBN Legal business name Sacco, Matthew Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275533291 NPPES
Other 01782101 BC
MEDICAID 0010950180004 BC
Other 406694 BC

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