Richard W Dicicco in Cedar Brook - Chiropractor
Richard W Dicicco - NPI 1073668265
Richard W Dicicco is a Chiropractor in Cedar Brook, New Jersey. Richard W Dicicco practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Richard W Dicicco is 1073668265. The last update date is 2007-07-08.
Richard W Dicicco's current location address is 1 Myers Avenue, Cedar Brook, New Jersey. You can contact this provider via phone number 6095611150. The mailing address for Richard W Dicicco is 1 Myers Avenue, Cedar Brook, New Jersey. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard W Dicicco |
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Address | 1 Myers Avenue, Cedar Brook, New Jersey |
Phone Number | 6095611150 |
Fax Number | |
Sole Proprietor | N |
Credentials | D.C. |
NPI Number Detail
NPI Number | 1073668265 |
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Provider Enumeration Date | 2007-01-25 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 1 Myers Avenue |
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City | Cedar Brook |
State | New Jersey (NJ) |
Post Code | 8018 |
Phone Number | 6095611150 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 38MC00418400 |
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
673372000 | NJ | AMERIHEALTH | |
2230846 | NJ | AETNA |
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What is the unique 10-digit identifier code issued to Richard W Dicicco by the Centers for Medicare & Medicaid Services?
The Richard W Dicicco has been assigned the NPI (National Provider Identifier) 1073668265 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Richard W Dicicco is geographically located?
The Richard W Dicicco is physically situated at the following location: 1 Myers Avenue, Cedar Brook, NJ, 8018.
What is Richard W Dicicco's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Richard W Dicicco's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Richard W Dicicco receive its 1073668265 assignment from the Centers for Medicare & Medicaid Services?
The Richard W Dicicco was assigned its 1073668265 by the Centers for Medicare & Medicaid Services on 2007-01-25.
As of what date were the details related to Richard W Dicicco most recently updated or revised?
The information pertaining to Richard W Dicicco, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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