Individual
PETER MONACO CIMINO
Active
Individual
PETER MONACO CIMINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
16362
NE
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
16362
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0755
BCBS PROVIDER NUMBER
NE
05
—
09283
—
IA
01
—
093431
NE MEDICARE GROUP
NE
05
—
0937078
—
IA
01
—
16362
NE MEDICAL LICENSE
NE
01
—
2000-10322
RR MEDICARE
NE
05
—
470533149212
—
NE
01
—
CJ6643
RR MEDICARE GROUP
NE
Enumeration date
02/16/2006
Last updated
03/07/2023
Update your record
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