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Contact Information

LUKE D CICCHINELLI, MD
1111 LOCUST STREET
PHILADELPHIA, PA19107
 Phone: 480-242-5177
 Fax: 252-744-3616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for LUKE D CICCHINELLI · (Male)

NPI Number 1578506101
Status Active
Credentials MD
Entity Individual
Enumeration date 06/13/2006
Last updated 01/20/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 361
  • NC Medicaid 890802H
  • NC Other 0802H BCBS NC
  • NC Other 480031159 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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