Aldo Ciccotelli M.d.p.c. | |
106 Corporate Dr E Langhorne PA 19047-8005 | |
(215) 504-5253 | |
Not Available |
Full Name | Aldo Ciccotelli M.d.p.c. |
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Speciality | General Practice |
Location | 106 Corporate Dr E, Langhorne, Pennsylvania |
Authorized Official Name and Position | Aldo Ciccotelli (PRESIDENT) |
Authorized Official Contact | 2679805035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Aldo Ciccotelli M.d.p.c. 106 Corporate Drive East Langhorne PA 19047 Ph: (215) 504-5253 | Aldo Ciccotelli M.d.p.c. 106 Corporate Dr E Langhorne PA 19047-8005 Ph: (215) 504-5253 |
NPI Number | 1972046977 |
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Provider Enumeration Date | 11/22/2016 |
Last Update Date | 11/22/2016 |
Medicare PECOS PAC ID | 8224315320 |
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Medicare Enrollment ID | O20170427000591 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972046977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | MD037767E (Pennsylvania) | Primary |
Provider Name | Aldo A Ciccotelli |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649266313 PECOS PAC ID: 7113923210 Enrollment ID: I20101108000959 |
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