Individual
DR. JOSEPH C CICENIA III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9500 EUCLID AVE, A90, CLEVELAND, OH 44195-0001
(216) 445-8606
(216) 445-0474
Mailing address
9500 EUCLID AVE, A90, CLEVELAND, OH 44195-0001
(216) 445-8606
(216) 445-0474
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
217694
NY
207RP1001X
Pulmonary Disease Physician
Primary
35.096266
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02094631
—
NY
01
—
217694
STATE MEDICAL LICENCE #
NY
01
—
35.096266
OHIO MEDICAL LICENSE
OH
Enumeration date
01/26/2007
Last updated
03/07/2023
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