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General NPI Number Information
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NPI Number | 1265474696
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Entity Type | Organization
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Legal Business Name | FEDERAL HILL PLASTIC SURGERY, PC
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Dates
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Enumeration Date | 06/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 291 QUEEN ST
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City | BRISTOL
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State | CT
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Zip | 06010-6379
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Country | US
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Telephone | 860-583-1845
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Fax |
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Provider Business Mailing Address
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Address Line | 291 QUEEN ST
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City | BRISTOL
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State | CT
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Zip | 06010-6379
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Country | US
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Telephone | 860-583-1845
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARMANN O CICCARELLI
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Credential | MD
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Telephone | 860-583-1845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | 033599
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 033599
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License Number State | CT
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