Individual
DR. EUGENE C. CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 CAMP ST, HYANNIS, MA 02601-3008
(508) 775-5577
(508) 790-1943
Mailing address
116 CAMP ST, HYANNIS, MA 02601-3008
(508) 775-5577
(508) 790-1943
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25231
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9756175
—
MA
Enumeration date
03/01/2006
Last updated
07/09/2012
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