MEDICARE: LUIGI A. CIANCI,MD.,PC

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
1	207R00000X	Internal Medicine Physician	MD016734-E	PA

General Provider Information

NPI Number	:	1629192273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUIGI A. CIANCI,MD.,PC

Provider Business Mailing Address
First Line	:	2801 ISLAND AVE
Second Line	:	SUITE 5
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2326
Country	:	US
Telephone Number	:	215-365-5545
Fax Number	:

Provider Business Practice Location Address
First Line	:	2801 ISLAND AVE
Second Line	:	SUITE 5
City	:	PHILADELPHIA
State	:	PA
Zip	:	19153-2326
Country	:	US
Telephone Number	:	215-365-5545
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LUIGI A. CIANCI
Credential	:	MD016734-E
Telephone Number	:	215-365-5545

Provider Enumeration Date	:	03/19/2007
Last Update Date	:	08/22/2020

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