Physician Compare National (NPI:1710995410)

HEALTHCARE PROVIDER: CARLO CECCHETTI MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1710995410
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5698800860
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100315000165
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CECCHETTI
	Individual professional last name
Provider First Name	CARLO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	MEDICAL COLLEGE OF WISCONSIN
	Individual professional's medical school
Graduation Year	1972
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	GASTROENTEROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	GASTROENTEROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	50 TREMONT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 107
	Group Practice or individual's line 2 address
City	MELROSE
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021762727
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	220070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HALLMARK HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y