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NPI Code Detail

MEDICARE: DR. JOHN MARK CIANCIOLO

MEDICARE:  DR. JOHN MARK CIANCIOLO
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
1111N00000XChiropractor000744CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770578700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN MARK CIANCIOLO
Provider Business Mailing Address
First Line : 500 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3808
Country : US
Telephone Number : 203-495-6800
Fax Number : 203-495-6801
Provider Business Practice Location Address
First Line : 500 ORANGE ST
Second Line :
City : NEW HAVEN
State : CT
Zip : 06511-3808
Country : US
Telephone Number : 203-495-6800
Fax Number : 203-495-6801
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 05/30/2024

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Directions to “ DR. JOHN MARK CIANCIOLO ” Practice Location

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