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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