Edward J.p. Ciecko, Do, Pc

NPI 1356360564 - Family Medicine - 207Q00000X

NPI Details
NPI 1356360564
Enumeration Date 07/19/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD J.P. EDWARD
Position OWNER
Phone (215) 632-7666
Fax (215) 632-8116
Practice Location
12301 MEDFORD RD
PHILADELPHIA PA, 19154-1924, US
Phone (215) 632-7666
Fax (215) 632-8116
Business Location
1001 BRIGGS RD
SUITE 210
MOUNT LAUREL NJ, 08054-4100, US
Phone (856) 231-4774
Fax (856) 231-9699
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Edward J.p. Ciecko, Do, Pc NPI is 1356360564, taxonomy code is 207Q00000X Edward J.p. Ciecko, Do, Pc physically located at 12301 Medford Rd, Philadelphia PA, 19154-1924. NPI Number 1033115704 has the healthcare provider type.

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1356360564 NPI number is provided on an as is basis without warranty of any kind. 1356360564 is maintained by the National Plan & Provider Enumeration System. The contents of Edward J.p. Ciecko, Do, Pc are for informational purposes only.