Individual
DAVID E. CIANCIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-5695
(203) 459-0574
Mailing address
4697 MAIN ST, BRIDGEPORT, CT 06606-1869
(203) 372-5695
(203) 459-0574
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
031679
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010031679CT01
BLUE CROSS
CT
01
—
134581
CIGNA
CT
01
—
168586
MANAGED HEALTH NETWORK
CT
01
—
ZS814
OXFORD
CT
Enumeration date
07/17/2006
Last updated
07/08/2007
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