Organization
FEDERAL HILL PLASTIC SURGERY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARMANN O CICCARELLI MD (PRESIDENT)
(860) 583-1845
Entity
Organization
Contact information
Practice address
291 QUEEN ST, BRISTOL, CT 06010-6379
(860) 583-1845
Mailing address
291 QUEEN ST, BRISTOL, CT 06010-6379
(860) 583-1845
Taxonomy
Speciality
Code
Description
License number
State
2086S0105X
Surgery of the Hand (Surgery) Physician
033599
CT
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
033599
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
769115
CONNECTICARE
CT
01
—
HAS 347
OXFORD
CT
Enumeration date
06/11/2006
Last updated
09/11/2025
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