Healthcare Provider Details

I. General information

NPI: 1023532793
Provider Name (Legal Business Name): JOSHUA DAVID CILLO AU.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2017
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 MAIN ST STE 3
DICKSON CITY PA
18519-1368
US

IV. Provider business mailing address

307 ROSS ST
DUNMORE PA
18512-3145
US

V. Phone/Fax

Practice location:
  • Phone: 570-489-9900
  • Fax: 570-489-4327
Mailing address:
  • Phone: 570-419-3373
  • Fax: 570-489-4327

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: