| Vincent G. Sacco D.o. P.c. | |
|
2701 Holme Ave Suite 202 Philadelphia PA 19152-2029 | |
| (215) 333-9901 | |
| (215) 333-9828 |
| Full Name | Vincent G. Sacco D.o. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2701 Holme Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Barbara A Smith (OFFICE MANAGER) |
| Authorized Official Contact | 2157047338 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vincent G. Sacco D.o. P.c. 2701 Holme Ave Suite 202 Philadelphia PA 19152-2029 Ph: (215) 333-9901 | Vincent G. Sacco D.o. P.c. 2701 Holme Ave Suite 202 Philadelphia PA 19152-2029 Ph: (215) 333-9901 |
| NPI Number | 1194738682 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 01/24/2014 |
| Medicare PECOS PAC ID | 3072603703 |
|---|---|
| Medicare Enrollment ID | O20071219000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194738682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS007248L (Pennsylvania) | Primary |
| Provider Name | Vincent G Sacco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073502308 PECOS PAC ID: 2860393253 Enrollment ID: I20040119000237 |
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