Individual
ANDREW MICHAEL CICCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2101
(413) 582-2949
Mailing address
30 LOCUST ST, NORTHAMPTON, MA 01060-2052
(413) 582-2000
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15912C
WY
2085R0202X
Diagnostic Radiology Physician
2023024651
MO
2085R0202X
Diagnostic Radiology Physician
Primary
228309
MA
2085R0202X
Diagnostic Radiology Physician
A90543
CA
2085R0202X
Diagnostic Radiology Physician
MC-155
GU
2085R0202X
Diagnostic Radiology Physician
MD-51377
IA
2085R0202X
Diagnostic Radiology Physician
ME164193
FL
Other
Enumeration date
06/02/2006
Last updated
01/27/2026
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