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Contact Information

CHARLES A DICECCA, MD
300 CONGRESS STREET
SUITE308
QUINCY, MA02169
 Phone: 617-773-7457
 Fax: 617-773-0299
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for CHARLES A DICECCA · (Male)

NPI Number 1336105022
Status Active
Credentials MD
Entity Individual
Enumeration date 04/22/2006
Last updated 02/15/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 039257
  • MA Medicaid 2069237
  • MA Other C20249 BCBS
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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