Ciancimino, David E.
Ciancimino, David E. is an sole proprietor health care provider with primary practice located at 4697 Main St , Bridgeport CT 06606-1869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ciancimino, David E. can be contacted via phone (203) 372-5695.Contact Information
Primary practice address
4697 Main St
Bridgeport CT 06606-1869
Phone: (203) 372-5695
Fax: (203) 459-0574
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 031679 | Connecticut |
Profile Details
| NPI number | 1992723282 |
|---|---|
| LBN Legal business name | Ciancimino, David E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992723282 | NPPES |
| Connecticut | Other | 010031679CT01 | BLUE CROSS |
| Connecticut | Other | 168586 | BLUE CROSS |
| Connecticut | Other | 134581 | BLUE CROSS |
| Connecticut | Other | ZS814 | BLUE CROSS |
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