| Anthony Ciccaglione, Md Pc | |
|
3715 Main St Suite 408 Bridgeport CT 06606-3611 | |
| (203) 371-0406 | |
| (203) 371-6206 |
| Full Name | Anthony Ciccaglione, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3715 Main St, Bridgeport, Connecticut |
| Authorized Official Name and Position | Anthony G Ciccaglione (PRESIDENT) |
| Authorized Official Contact | 2033710406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony Ciccaglione, Md Pc 3715 Main St Suite 408 Bridgeport CT 06606-3611 Ph: (203) 371-0406 | Anthony Ciccaglione, Md Pc 3715 Main St Suite 408 Bridgeport CT 06606-3611 Ph: (203) 371-0406 |
| NPI Number | 1184721383 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/09/2011 |
| Medicare PECOS PAC ID | 6406853803 |
|---|---|
| Medicare Enrollment ID | O20061027000161 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184721383 | NPI | - | NPPES |
| 001528 | Other | CT | HEALTHNET |
| 047428001 | Other | CT | COMMUNITY HEALTH NETWORK |
| CIGNA | Other | CT | 4394341002 |
| ZP085 | Other | CT | OXFORD |
| 000129874006 | Other | CT | AARP |
| 010027876CT03 | Other | CT | BLUE CROSS AND SHIELD |
| 110058972 | Other | CT | RETIRED RAILROAD MEDICARE |
| 129640 | Other | CT | FIRSTCHOICE |
| 001278761 | Medicaid | CT | |
| 2501583 | Other | CT | GHI |
| 000129874006 | Other | CT | UNITED HEALTHCARE |
| 010027876CT02 | Other | CT | BLUE CROSS AND BLUE SHIEL |
| 129640 | Other | CT | WELLCARE |
| 047428001 | Other | CT | TRICARE |
| 739792 | Other | CT | CONNECTICARE |
| 4322371 | Other | CT | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 027876 (Connecticut) | Primary |
| Provider Name | Anthony G Ciccaglione |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265435309 PECOS PAC ID: 4587661988 Enrollment ID: I20061027000171 |
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