Mark J. Micciche, DPM

Podiatrist · Scranton, PA

Individual Active NPI

NPI number 1336195031

Practice location

1800 Mulberry St
Scranton, PA 18510-2369
Phone
(570) 703-8146
Fax
(570) 703-7205

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NPI record

NPI
1336195031
Entity type
Individual (Type 1)
Enumeration date
May 25, 2006
Last updated
August 21, 2020
Certified
August 21, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Podiatrist Primary 213E00000X SC-003638-L PA

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone
(570) 271-6144
Fax
(570) 271-6578

About Dr. Micciche

Mark J. Micciche, DPM is a healthcare provider registered in the NPI registry with the primary taxonomy Podiatrist (code 213E00000X). The practice location is 1800 Mulberry St, Scranton, PA 18510-2369. The NPI number 1336195031 was assigned on May 25, 2006 and the record was last updated on August 21, 2020.

Dr. Micciche lists a license in the registry: #SC-003638-L (PA) for Podiatrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark J. Micciche, DPM?

The NPI number is 1336195031.

What is the phone number of Dr. Micciche?

The phone number listed for the practice location is (570) 703-8146.

Where is Dr. Micciche located?

1800 Mulberry St, Scranton, PA 18510-2369.

What is the taxonomy code for Dr. Micciche?

The primary taxonomy code is 213E00000X – Podiatrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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