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Organization

MARK J. CERCIELLO M.D., P.C.

Active
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Organization

MARK J. CERCIELLO M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARK CERCIELLO (MD)
(610) 821-2815
Entity
Organization

Contact information

Practice address
451 W CHEW ST, SUITE 207, ALLENTOWN, PA 18102-3472
(610) 821-2815
(610) 821-8031
Mailing address
451 W CHEW ST, SUITE 207, ALLENTOWN, PA 18102-3472
(610) 821-2815
(610) 821-8031

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000626313001
PA
Enumeration date
05/18/2007
Last updated
11/07/2007
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