Individual
MR. JOHN D CACCIAMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1345 GLENVIEW RD., CLARKS SUMMIT, PA 18411
(570) 563-2693
Mailing address
1345 GLENVIEW RD., CLARKS SUMMIT, PA 18411
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD017554E
PA
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
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