Individual
MR. PAUL THOMAS CIECHOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
175 PICKETT RD, DOVER, PA 17315-3125
(717) 668-7580
Mailing address
175 PICKETT RD, DOVER, PA 17315-3125
(717) 668-7580
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054163
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1589723
GATEWAY MEDICARE ASSURED-WMG
PA
01
—
2516439
HIGHMARK BLUE SHIELD-WMG
PA
Enumeration date
02/16/2006
Last updated
04/06/2011
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