Dicecca, Charles Anthony
Dicecca, Charles Anthony is an individual health care provider with primary practice located at 300 Congress Street Suite308, Quincy MA 02169. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Dicecca, Charles Anthony can be contacted via phone (617) 773-7457.Contact Information
Primary practice address
300 Congress Street Suite308
Quincy MA 02169
Phone: (617) 773-7457
Fax: (617) 773-0299
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 039257 | Massachusetts |
Profile Details
| NPI number | 1336105022 |
|---|---|
| LBN Legal business name | Dicecca, Charles Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 22nd, 2006 |
| Last updated | Feb 15th, 2017 - about 8 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 | 1336105022 | NPPES |
| Massachusetts | MEDICAID | 2069237 | |
| Massachusetts | Other | C20249 |
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