Individual
MICHAEL A. CHIECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 294-2666
Mailing address
49 CARRIAGE WAY, BARNEGAT, NJ 08005-3393
(917) 297-4680
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
24MA07773600
NJ
208000000X
Pediatrics Physician
225231
NY
208000000X
Pediatrics Physician
Primary
25MA07773600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02315722
—
NY
01
—
1408Q1
BLUECROSS BLUESHIELD
NY
Enumeration date
03/17/2006
Last updated
04/18/2025
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