Healthcare Provider Details

I. General information

NPI: 1144284704
Provider Name (Legal Business Name): FEDERICO ARIEL CEPPA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2006
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S DUKE ST
LANCASTER PA
17602-4509
US

IV. Provider business mailing address

304 N WATER ST
LANCASTER PA
17603-3374
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-6371
  • Fax: 717-397-4948
Mailing address:
  • Phone: 717-299-6371
  • Fax: 717-945-1587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD424433
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberMD424433
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: