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NPI Code Detail

MEDICARE: ERIC CIABATTONI

MEDICARE:   ERIC  CIABATTONI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251X0800XOrthopedic Physical TherapistPT025865PA

General Provider Information

NPI Number : 1013457175
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC CIABATTONI
Provider Business Mailing Address
First Line : 1175 LANCASTER AVE
Second Line :
City : BERWYN
State : PA
Zip : 19312-1297
Country : US
Telephone Number : 610-651-8282
Fax Number : 610-651-8213
Provider Business Practice Location Address
First Line : 1175 LANCASTER AVE
Second Line :
City : BERWYN
State : PA
Zip : 19312-1297
Country : US
Telephone Number : 610-651-8282
Fax Number : 610-651-8213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2017
Last Update Date : 03/08/2017

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Directions to “ ERIC CIABATTONI ” Practice Location

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