Individual
MARK PREZIOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
250 S 21ST ST, EASTON, PA 18042-3851
(610) 250-4000
Mailing address
3105 FLORIAN ST, EASTON, PA 18045-5982
(724) 255-0820
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002530
PA
363AM0700X
Medical Physician Assistant
Primary
MA054542
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA054542
MEDICAL LICENSE NUMBER
PA
01
—
OA002530
OSTEOPATHIC LICENSE NUMBER
PA
Enumeration date
12/15/2010
Last updated
12/15/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us