Ciccotti, Michael Girard

Ciccotti, Michael Girard is an individual health care provider with primary practice located at 925 Chestnut St 5Th Floor, Philadelphia PA 19107-4216. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ciccotti, Michael Girard can be contacted via phone (267) 339-3500.

Contact Information

Primary practice address
925 Chestnut St 5Th Floor Philadelphia PA 19107-4216
Phone: (267) 339-3500
Fax: (215) 503-0580
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD040661E Pennsylvania
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 25MA06744600 New Jersey
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD040661E Pennsylvania

Profile Details

NPI number 1245287556
LBN Legal business name Ciccotti, Michael Girard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2006
Last updated Jul 10th, 2024 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245287556 NPPES
Pennsylvania Other 0116226 AETNA
Pennsylvania Other 0529117000 AETNA
Pennsylvania Other 1260028 AETNA

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