Individual
DR. LUCA CICALESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF TRANSPLANT SURGERY, WORCESTER, MA 01655-0002
(508) 334-7232
Mailing address
PO BOX 62, TURNPIKE STATION, SHREWSBURY, MA 01545-0062
(508) 334-8815
(508) 334-5374
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
216445
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0189111
—
MA
Enumeration date
11/05/2005
Last updated
07/02/2012
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