Active NPIIndividual provider

Angela D Bacchiocchi, PA-C

Physician Assistant, Surgical in Bangor, Maine

NPI Number1457607244
Practice location
417 State St, Suite 221, Bangor, ME 04401-6630
Fax
—
Last updated
July 30, 2012

Angela Diane Bacchiocchi is a Physician Assistant, Surgical based in Bangor, ME. Angela Diane Bacchiocchi practices in Bangor, ME and has the professional credentials of PA-C. The NPI Number for Angela Diane Bacchiocchi is 1457607244 and holds a License No. PA1350 (ME). The current practice location address for Angela Diane Bacchiocchi is 417 State St, Suite 221, Bangor, ME 04401-6630 and can be reached out via phone at 207-973-9949.

Provider Profile Details

NPI Number
1457607244
Provider Name
Angela Diane Bacchiocchi
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
417 State St, Suite 221, Bangor, ME 04401-6630
Phone Number
207-973-9949
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
July 30, 2012
Last Update Date
July 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
417 State St
Suite 221
Bangor, ME 04401-6630
City
Bangor
State
Maine
Zip
04401-6630
Phone Number
207-973-9949
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
909 Blackstream RD
Hermon, ME 04401-0207
City
Hermon
State
ME
Zip
04401-0207
Phone Number
413-575-6118

License Information

License Number
PA1350
License State
ME
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Angela D Bacchiocchi, PA-C?

The NPI number of Angela D Bacchiocchi, PA-C is 1457607244. It was assigned on July 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Angela D Bacchiocchi, PA-C?

Angela D Bacchiocchi, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in ME under license number PA1350.

Where does Angela D Bacchiocchi, PA-C practice?

The practice location is 417 State St, Suite 221, Bangor, ME 04401-6630. The office can be reached at 207-973-9949 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1457607244 directly on the NPPES registry website.

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