Individual
DR. MATTHEW V ZACCHEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 231-8772
(717) 231-8435
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS012450
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101018545
MI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
OS012450
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027186402
UNIVERA
NY
01
—
02833796
NY MEDICAID
NY
05
—
1010579960002
—
PA
05
—
1033173267
—
MI
01
—
1071104
W. VIRGINIA WORKERS COMP
WV
05
—
1255304358
—
MI
01
—
1417961137
BCBSM - BMH TAX ID
MI
01
—
1427756
AETNA
PA
01
—
1540527
GATEWAY
PA
01
—
1633761
BLUE SHIELD
PA
01
—
197616
UNISON
PA
01
—
2702892
OH MEDICAID
OH
01
—
410337
UPMC
PA
01
—
P00380522
RR MEDICARE
PA
Enumeration date
04/14/2006
Last updated
08/14/2021
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