Individual
MICHAEL A. SCICCHITANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1600 HOSPITAL ROAD, SHAMOKIN AREA COMMUNITY HOSPITAL, COAL TOWNSHIP, PA 17866
(570) 644-4222
Mailing address
1508 VIGINIA LANE, KULPMONT, PA 17834
(570) 373-1648
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS007752L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0713357
—
PA
Enumeration date
10/20/2006
Last updated
07/08/2007
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