NPI 1629077789 · live from the CMS NPI Registry
Alfred Coccaro, M.D.
Radiology, Diagnostic Radiology in Washington, DC. National Provider Identifier 1629077789, active.
NPI record
| NPI | 1629077789 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 1150 Varnum St Ne, Washington, DC 20017 |
| Practice phone | 202-269-7000 |
| Mailing address | 4700 Berwyn House Rd, Ste 208, College Park, MD 20740 |
| Enumerated | July 20, 2005 |
| Last updated | November 1, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | d0014031 (MD) |
| Radiology, Diagnostic Radiology | 2085R0202X | 0101022473 (VA) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | md6699 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.