Organization
PERRY J CICCHINI DC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY J CICCHINI DC PA (PROPRIETOR)
(856) 228-8888
Entity
Organization
Contact information
Practice address
805 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012
(856) 228-8888
(856) 228-9323
Mailing address
805 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012
(856) 228-8888
(856) 228-9323
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00338700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578804
—
NJ
Enumeration date
03/14/2008
Last updated
03/20/2008
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