Individual
BRIAN J CECCARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D. O.
Contact information
Practice address
4160 LITTLE YORK RD, STE. 10, DAYTON, OH 45414-5800
(937) 415-9100
(937) 415-9191
Mailing address
PO BOX 713130, CINCINNATI, OH 45271-0001
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3891
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0739008
—
OH
01
—
200021341
RAILROAD MEDICARE
OH
01
—
P00657291
RR MEDICARE
OH
Enumeration date
08/10/2005
Last updated
10/06/2011
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