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NPI Code Detail

MEDICARE: ZBIGNIEW CICHON, MD, PA

MEDICARE: ZBIGNIEW CICHON, MD, PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician96-00887NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
122641OTHERNCBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326217068
Entity Type Code : Organization
Provider Name (Legal Business Name) : ZBIGNIEW CICHON, MD, PA
Provider Business Mailing Address
First Line : PO BOX 1406
Second Line :
City : NORTH WILKESBORO
State : NC
Zip : 28659-1406
Country : US
Telephone Number : 336-838-1617
Fax Number : 336-838-2637
Provider Business Practice Location Address
First Line : 110 JEFFERSON ST
Second Line : SUITE 103
City : NORTH WILKESBORO
State : NC
Zip : 28659-3507
Country : US
Telephone Number : 336-838-1617
Fax Number : 336-838-2637
Authorized Official
Title or Position : PRESIDENT
Name : DR. ZBIGNIEW CICHON
Credential : M.D.
Telephone Number : 336-838-1617
Provider Enumeration Date : 02/27/2008
Last Update Date : 11/09/2009

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Directions to “ZBIGNIEW CICHON, MD, PA ” Practice Location

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