Peter Mardo

Individual provider Active NPI Interpreter · Troy, MI

NPI 1154840536 · NPPES record last updated Jun 16, 2018

Key facts

NPI
1154840536
Entity type
Individual (NPI type 1)
Primary specialty
Interpreter 171R00000X
Practice address
930 John R Rd Apt 2129
Troy, MI 48083-4318
Phone
(248) 990-5314
Fax
(586) 983-9604
NPI assigned
Sep 17, 2017
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Interpreter 171R00000X Yes

Addresses

Primary practice location

930 John R Rd Apt 2129
Troy, MI 48083-4318

Mailing address

42017 Duxbury Dr
Sterling Heights, MI 48313-3473
Phone (248) 990-5314

Other identifiers

IdentifierTypeStateIssuer
87200835MedicaidMI

Other providers in Troy, MI

All providers in Troy, MI · Interpreter in Michigan

Sources for this page

Verify at the official NPI Registry.