Kelly M. Ciccone in Burlington - Physician Assistant

Kelly M. Ciccone - NPI 1710054713

Kelly M. Ciccone is a Physician Assistant in Burlington, Massachusetts. Kelly M. Ciccone practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kelly M. Ciccone is 1710054713. The last update date is 2013-10-02.

Kelly M. Ciccone's current location address is Lahey Clinic 41 Mall Rd, Burlington, Massachusetts. You can contact this provider via phone number 7817448886 and fax number 7817442956. The mailing address for Kelly M. Ciccone is Lahey Clinic 41 Mall Rd, Burlington, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly M. Ciccone
Address Lahey Clinic 41 Mall Rd, Burlington, Massachusetts
Phone Number 7817448886
Fax Number 7817442956
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1710054713
Provider Enumeration Date 2006-11-29
Last Updated Date 2013-10-02

Provider Mailing Address Detail

Address Lahey Clinic 41 Mall Rd
City Burlington
State Massachusetts (MA)
Post Code 18050001
Phone Number 7817448886
Fax Number 7817442956

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 2035
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Kelly M. Ciccone

Could you please provide the complete street address where Kelly M. Ciccone is physically located?

The Kelly M. Ciccone is physically situated at the following address: Lahey Clinic 41 Mall Rd, Burlington, MA, 18050001.

What is the Kelly M. Ciccone's area of specialization and corresponding taxonomy classification?

The Kelly M. Ciccone's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.

What is Kelly M. Ciccone's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kelly M. Ciccone is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When did the Kelly M. Ciccone receive its 1710054713?

The Kelly M. Ciccone was issued its 1710054713 on 2006-11-29, which is the date when the organization was assigned this unique identifier.

On what date did the Kelly M. Ciccone receive its 1710054713 assignment from the Centers for Medicare & Medicaid Services?

The Kelly M. Ciccone was assigned its 1710054713 by the Centers for Medicare & Medicaid Services on 2006-11-29.

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