Individual
DR. ROBERT CICCHELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
99 E MAIN RD STE 19A, MIDDLETOWN, RI 02842-4957
(401) 846-0055
(401) 842-0963
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD09279
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110190270
RR MEDICARE
RI
01
—
709004149
GROUP MEDICARE
RI
05
—
9020330
—
RI
Enumeration date
09/14/2005
Last updated
10/28/2025
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