Individual
DR. LAWRENCE A CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
30 LOCUST ST, COOLEY DICKINSON HOSPITAL, NORTHAMPTON, MA 01060-2052
(413) 582-2000
(413) 582-4664
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2000
(413) 582-4664
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
233964
MA
208000000X
Pediatrics Physician
OS012915
PA
208M00000X
Hospitalist Physician
OS012915
PA
Other
Enumeration date
10/26/2006
Last updated
05/10/2008
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