Provider Demographics
NPI:1184853491
Name:MEZZACAPPA, PIA RHYS (LIC AC MAOM)
Entity Type:Individual
Prefix:MS
First Name:PIA
Middle Name:RHYS
Last Name:MEZZACAPPA
Suffix:
Gender:F
Credentials:LIC AC MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 885
Mailing Address - Street 2:
Mailing Address - City:WEST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02574
Mailing Address - Country:US
Mailing Address - Phone:617-816-7418
Mailing Address - Fax:
Practice Address - Street 1:184 JONES RD
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02540-2959
Practice Address - Country:US
Practice Address - Phone:617-816-7418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-08
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist