Individual
GERALDINA KICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
88 WASHINGTON ST, MORTON HOSPITAL AND MEDICAL CENTER, TAUNTON, MA 02780-2465
(508) 821-9989
Mailing address
91 STILES RD, SALEM, NH 03079-2846
(603) 893-9784
(603) 893-8886
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
226412
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2123533
—
MA
01
—
J40170
BCBS
MA
Enumeration date
03/28/2006
Last updated
05/19/2008
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