Individual
KRISTINA CICCOTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
821 HUNTINGDON PIKE, HUNTINGDON VALLEY, PA 19006
(215) 938-3413
(215) 938-3122
Mailing address
1650 HUNTINGDON PIKE, SUITE 313, MEADOWBROOK, PA 19046-8007
(215) 938-3413
(215) 938-3422
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD049754L
PA
Other
Enumeration date
10/14/2006
Last updated
10/14/2019
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