Individual
SCOTT C CHICCINO
Active
Individual
SCOTT C CHICCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
C5-0000150
DE
363AS0400X
Surgical Physician Assistant
Primary
C5-0000150
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0000150
PRFESSIONAL LICENSE
DE
Enumeration date
12/04/2006
Last updated
01/23/2019
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