Individual
ERIC DICICCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
142 WALLACE AVE STE 201, DOWNINGTOWN, PA 19335-2643
(610) 873-2700
(610) 594-2625
Mailing address
412 CREAMERY WAY STE 400, EXTON, PA 19341-2551
(610) 594-7590
(610) 594-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009706L
PA
Other
Enumeration date
08/12/2006
Last updated
01/24/2019
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