Organization
KAREN JILL CICCARELLI, M.D. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN JILL CICCARELLI M.D. (CEO)
(301) 223-4529
Entity
Organization
Contact information
Practice address
16605 KENDLE RD, WILLIAMSPORT, MD 21795-1614
(301) 223-4529
(301) 223-1240
Mailing address
16605 KENDLE RD, WILLIAMSPORT, MD 21795-1614
(301) 223-4529
(301) 223-1240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0052136
MD
Other
Enumeration date
02/15/2007
Last updated
03/17/2008
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