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
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
Provider Enumeration Date 2007-01-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1 Myers Avenue
City Cedar Brook
State New Jersey (NJ)
Post Code 8018
Phone Number 6095611150
Fax Number

Provider's Primary Taxonomy Detail

Speciality Chiropractor
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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FAQs about Richard W Dicicco

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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