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Contact Information

EUGENE C. CICCARELLI, MD PC
116 CAMP ST
HYANNIS, MA02601-3008
 Phone: 508-771-3203
 Fax: 508-790-1943
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for EUGENE C CICCARELLI MD PC · (Female)

NPI Number 1104007095
Status Active
Credentials
Entity Individual
Enumeration date 11/19/2007
Last updated 11/19/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MA License # 25231
  • MA Medicaid 9756175
  • MA Other M12071 MA BLUE SHIELD GROUP #
  • MA Other M12071 MEDICARE PROVIDER GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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