Cicuto, Bryan
Cicuto, Bryan is an individual health care provider with primary practice located at 1535 Highlands Dr Ste 300 , Lititz PA 17543-7681. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Cicuto, Bryan can be contacted via phone (717) 625-3509.Contact Information
Primary practice address
1535 Highlands Dr Ste 300
Lititz PA 17543-7681
Phone: (717) 625-3509
Fax: (717) 625-4258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | OS017124 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | OT010894 | Pennsylvania |
Profile Details
| NPI number | 1871709196 |
|---|---|
| LBN Legal business name | Cicuto, Bryan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 15th, 2007 |
| Last updated | Oct 2nd, 2019 - about 6 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 | 1871709196 | NPPES |
| Pennsylvania | MEDICAID | 1029496100006 |
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