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Contact Information

RICHARD A CICCANTELLI, DPM
158 MAIN ST
PENNSBURG, PA18073
 Phone: 215-679-5393
 Fax: 215-679-9674
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for RICHARD A CICCANTELLI · (Male)

NPI # 1265466130
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/10/2006
Last updated 02/14/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # SC1300537002
  • PA Medicaid 0800149
  • Other 20008186 AMERIHEALTH
  • Other 50056654 CAPITAL BC
  • Other 1300597002 CIGNA
  • Other 0060564000 KEYSTONE
  • Other P2659559 OXFORD
  • Other 0060564000 PC
  • Other 442480169 RAILROAD MEDICARE
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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