Individual
DR. ALBERT J CECCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3119 WOODMAN DR, ALTOONA, WI 54720-2668
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
54584
WI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
OS010647L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101278754
—
PA
01
—
2403326B
MEDICARE ID
NC
05
—
5904649
—
NC
Enumeration date
02/17/2006
Last updated
03/25/2020
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