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Individual
DR. RICHARD A CICCANTELLI
Active
Individual
DR. RICHARD A CICCANTELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC1300537002
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060564000
KEYSTONE
—
05
—
0800149
—
PA
01
—
1300597002
CIGNA
—
01
—
20008186
AMERIHEALTH
—
01
—
442480169
RAILROAD MEDICARE
—
01
—
50056654
CAPITAL BC
—
01
—
P2659559
OXFORD
—
Enumeration date
07/10/2006
Last updated
02/14/2013
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