Edward J Ciecko (NPI# 1578585899, PAC ID# 2668444530) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1578585899 |
PAC ID by PECOS | 2668444530 |
Professional Enrollment ID | I20040811000171 |
Full Name | Edward J Ciecko |
Address |
12301 Medford Rd Philadelphia PA 19154-1924 |
Gender | M |
Credential | DO |
Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1985 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
390115 | ARIA HEALTH |
390204 | NAZARETH HOSPITAL |
Address | Phone | Organization |
---|---|---|
12301 Medford Rd, Philadelphia, PA 19154-1924 |
Street Address |
12301 MEDFORD RD |
City | PHILADELPHIA |
State | PA |
Zip | 19154-1924 |
Name | Specialty | Organization | Address |
---|---|---|---|
Violetta Berdichevskaya | Internal Medicine | Pa Department of Military and Veterans Affairs | 2701 Southampton Rd, Philadelphia, PA 19154-1205 |
Kenya Martin | Nurse Practitioner | American Current Care Pa | 2804 Southampton Rd, Philadelphia, PA 19154-1207 |
Francis J Mccaffery Iv | Chiropractic | 2808 Southampton Rd, Philadelphia, PA 19154-1207 | |
Karen Judith Scheer | Family Medicine | Hr Physician Services | 12265 Townsend Rd, Suite 400, Philadelphia, PA 19154-1214 |
Nicole A Ciullo | Registered Dietitian Or Nutrition Professional | 12401 Academy Rd, Philadelphia, PA 19154-1932 | |
Hal B Ganzman | Family Medicine | Pinnacle Physicians Group LLC | 12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1934 |
Carol Ann Verdi | General Practice | Pinnacle Physicians Group LLC | 12401 Academy Rd, Suite 203, Philadelphia, PA 19154-1934 |
Brian J Kirby | Physical Therapy | Capstone Physical Therapy and Fitness LLC | 10980 Norcom Rd, Philadelphia, PA 19154-2302 |
Mini Varghese | Psychiatry | Merakey Philadelphia | 11082 Knights Rd, Philadelphia, PA 19154-3511 |
Robert M Pezzano | Clinical Social Worker | Merakey Philadelphia | 11082 Knights Rd, Philadelphia, PA 19154-3511 |
Find all physicians in zip 19154 |
City | PHILADELPHIA |
Zip Code | 19154 |
Specialty | FAMILY MEDICINE |
City + Specialty | PHILADELPHIA + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.