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NPI Code Detail

MEDICARE: DR. CHRISTOPHER GERARD CIANCI D.C.

MEDICARE: DR. CHRISTOPHER GERARD CIANCI D.C.
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
1111N00000XChiropractorDC005306-LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1549819OTHERPAAETNA PROVIDER ID
2211956000OTHERPAGROUP HIGHMARK BS ID
30675501000OTHERPAINDIVIDUAL HIGHMARK BS ID

General Provider Information

NPI Number : 1164447132
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER GERARD CIANCI D.C.
Provider Business Mailing Address
First Line : 543 WINDY HILL RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-6957
Country : US
Telephone Number : 610-399-9904
Fax Number :
Provider Business Practice Location Address
First Line : 1101 S BROAD ST
Second Line :
City : LANSDALE
State : PA
Zip : 19446-5393
Country : US
Telephone Number : 215-631-1595
Fax Number : 215-631-1596
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2006
Last Update Date : 03/10/2014

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