Individual
MICHAEL L CICCHESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 METRO CENTER BLVD STE 200, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Mailing address
125 METRO CENTER BLVD STE 2000, WARWICK, RI 02886-1768
(401) 432-2520
(401) 453-8220
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12926
RI
2085R0202X
Diagnostic Radiology Physician
235803
MA
Other
Enumeration date
05/13/2008
Last updated
03/11/2019
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