Provider Demographics
NPI:1932160181
Name:PLACCI, CARLOS A (MD)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:PLACCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:110 FORT COUCH RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1030
Mailing Address - Country:US
Mailing Address - Phone:412-347-0170
Mailing Address - Fax:412-347-0174
Practice Address - Street 1:1500 FIFTH AVENUE
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132
Practice Address - Country:US
Practice Address - Phone:412-422-4633
Practice Address - Fax:412-343-5229
Is Sole Proprietor?:No
Enumeration Date:2006-03-29
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD030933L2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000943114Medicaid
PA141365OtherHIGHMARK BCBS
PA141365OtherHIGHMARK BCBS
B39116Medicare UPIN