Healthcare Provider Details

I. General information

NPI: 1447247622
Provider Name (Legal Business Name): JOSEPH J CIOCCA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 02/04/2020
Certification Date: 02/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 SHARON RD
BEAVER PA
15009-3148
US

IV. Provider business mailing address

1200 SHARON RD
BEAVER PA
15009-3148
US

V. Phone/Fax

Practice location:
  • Phone: 724-888-5040
  • Fax: 724-371-0911
Mailing address:
  • Phone: 724-888-5040
  • Fax: 724-371-0911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD062898L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: