Individual
CLEM ANTHONY CICCARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
503 BRIDGE ST, NEW CUMBERLAND, PA 17070-1972
(717) 774-8400
(717) 774-8607
Mailing address
503 BRIDGE ST, NEW CUMBERLAND, PA 17070-1972
(717) 774-8400
(717) 774-8607
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD025514E
PA
Other
Enumeration date
08/25/2005
Last updated
07/21/2022
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