Individual
DR. BRIAN CICUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1709 UNION AVE, NATRONA HEIGHTS, PA 15065-2104
(724) 226-0080
(724) 226-0083
Mailing address
1709 UNION AVE, NATRONA HEIGHTS, PA 15065-2104
(724) 226-0080
(724) 226-0083
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
OS007460L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001528326
—
PA
01
—
11024261
CAQH
—
Enumeration date
02/06/2006
Last updated
12/01/2020
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