Organization
ANTHONY CICCAGLIONE, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY G CICCAGLIONE MD (PRESIDENT)
(203) 371-0406
Entity
Organization
Contact information
Practice address
3715 MAIN ST, SUITE 408, BRIDGEPORT, CT 06606-3611
(203) 371-0406
(203) 371-6206
Mailing address
3715 MAIN ST, SUITE 408, BRIDGEPORT, CT 06606-3611
(203) 371-0406
(203) 371-6206
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
027876
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000129874006
AARP
CT
05
—
001278761
—
CT
01
—
001528
HEALTHNET
CT
01
—
010027876CT02
BLUE CROSS AND BLUE SHIEL
CT
01
—
010027876CT03
BLUE CROSS AND SHIELD
CT
01
—
047428001
COMMUNITY HEALTH NETWORK
CT
01
—
110058972
RETIRED RAILROAD MEDICARE
CT
01
—
129640
FIRSTCHOICE
CT
01
—
2501583
GHI
CT
01
—
4322371
AETNA
CT
01
—
739792
CONNECTICARE
CT
01
—
CIGNA
4394341002
CT
01
—
ZP085
OXFORD
CT
Enumeration date
09/20/2006
Last updated
08/09/2011
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