Individual
DR. ANTHONY L SICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
835 HOSPITAL RD, EMERGENCY DEPARTMENT, INDIANA, PA 15701-0788
(724) 357-7121
(724) 357-7479
Mailing address
835 HOSPITAL RD, PO BOX 788, INDIANA, PA 15701-0788
(724) 357-7009
(724) 357-7414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS008004L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000142964
BLUE SHIELD
PA
05
—
0014414670003
—
PA
01
—
207486
UPMC
PA
Enumeration date
10/27/2005
Last updated
07/07/2008
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