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Individual

DR. ANTHONY G CICCAGLIONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3715 MAIN ST, STE 408, BRIDGEPORT, CT 06606-3611
(203) 371-0406
(203) 371-6206
Mailing address
3715 MAIN ST, STE 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
UNITED
CT
01
001528
HEALTHNET
CT
01
129640
WELLCARE
CT
01
2501583
GHI
CT
01
4322371
AETNA
CT
01
4394341002
CIGNA
CT
01
739792
CONNECTICARE
CT
01
ZP085
OXFORD
CT
Enumeration date
05/23/2005
Last updated
07/08/2007
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