Ciotola, Joseph G

Ciotola, Joseph G is an individual health care provider with primary practice located at 20 N Laurel St , Hazleton PA 18201-5948. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ciotola, Joseph G can be contacted via phone (570) 455-3608.

Contact Information

Primary practice address
20 N Laurel St Hazleton PA 18201-5948
Fax: (570) 459-6639
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD029285E Pennsylvania

Profile Details

NPI number 1487682175
LBN Legal business name Ciotola, Joseph G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2006
Last updated Apr 3rd, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487682175 NPPES
Pennsylvania MEDICAID 0010903250001

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