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Organization
CICCONE CHIROPRACTIC, INC.
Active
Organization
CICCONE CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS JAMES CICCONE JR. D.C. (OWNER/DOCTOR)
(978) 368-3330
Entity
Organization
Contact information
Practice address
131 MAIN STREET, SUITE 7, SOUTH LANCASTER, MA 01561
(978) 368-3330
(978) 368-3337
Mailing address
PO BOX 486, SOUTH LANCASTER, MA 01561-0486
(978) 368-3330
(978) 368-3337
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3045
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007435
MEDICARE PTAN
MA
01
—
1003835356
NPI 1
—
01
—
1064159
ASHN
MA
01
—
1149717 - HMO
AETNA
MA
01
—
11535181
CAQH
MA
01
—
1600851
MASS HEALTH
MA
01
—
2414216
CIGNA
MA
01
—
2612009
UNITED HEALTH (ACN)
MA
01
—
37237
GIC - COMM SERVICE CENTER (UNICARE)
MA
01
—
415253
TUFTS PPO - TUFTS MEDICARE PREFERRED
MA
01
—
5675433
COVENTRY
MA
01
—
7908740 - PPO
AETNA
MA
01
—
9411420
PCHS
MA
01
—
95855601
NETWORK HEALTH
MA
01
—
AA50991
HARVARD PILGRIM-HEALTH PLAN INC- FSF
MA
01
—
Y40169
BLUECROSSBLUESHIELD
MA
01
—
Y43099
ADVENTIST RISK
MA
Enumeration date
06/23/2008
Last updated
07/14/2009
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