David Ciccolella MD

NPI 1043208044 - Internal Medicine - 207RP1001X

NPI Details
NPI 1043208044
Gender Male
Enumeration Date 10/12/2005
Last Updated 01/15/2010
Entity Type Individual
Active Over 11 years ago
Practice Location
3401 N BROAD ST
7TH FLR PARKINSON PAVILION
PHILADELPHIA PA, 19140-5103, US
Phone (215) 707-3336
Fax (215) 707-6867
Business Location
PO BOX 827783
PHILADELPHIA PA, 19182-7783, US
Phone (215) 707-3911
Fax (215) 707-3677
Toxanomy
Taxonomy Code 207RP1001X
License State Pennsylvania
License Number MD 052905L
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According to our database, David Ciccolella MD NPI is 1043208044, taxonomy code is 207RP1001X and license number is MD 052905L, license state is located at Pennsylvania. David Ciccolella MD physically located at 3401 N Broad St, Philadelphia PA, 19140-5103. NPI Number David Ciccolella MD has the Individual type.

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1043208044 NPI number is provided on an as is basis without warranty of any kind. 1043208044 is maintained by the National Plan & Provider Enumeration System. The contents of David Ciccolella MD are for informational purposes only.