Healthcare Provider Details

I. General information

NPI: 1578450557
Provider Name (Legal Business Name): DR. SUSAN ZEBRASKI CICCHETTI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2025
Last Update Date: 06/21/2025
Certification Date: 06/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 PERKIOMEN AVE
READING PA
19606-3635
US

IV. Provider business mailing address

5900 PERKIOMEN AVE
READING PA
19606-3635
US

V. Phone/Fax

Practice location:
  • Phone: 610-582-7288
  • Fax:
Mailing address:
  • Phone: 610-582-7288
  • Fax: 610-582-3911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP045849L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: