Individual
DR. MARCO A CACCAMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Mailing address
1 MEDICAL CENTER DR, MORGANTOWN, WV 26506-1200
(304) 598-4800
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
3193
WV
207RC0000X
Cardiovascular Disease Physician
02004222A
IN
207RC0000X
Cardiovascular Disease Physician
393
WV
207RC0000X
Cardiovascular Disease Physician
52173
MN
207RC0000X
Cardiovascular Disease Physician
OS015872
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201164930
—
IN
01
—
P01238575
RAILROAD MEDICARE
IN
01
—
P01279017
RAILROAD MEDICARE
IN
Enumeration date
04/16/2008
Last updated
04/08/2022
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