Individual provider · NPI-1
Dr. Anthony Cianciolo, DO
Hospitalist · Bethlehem, PA
NPI number1144712753
StatusActive
Last updated in NPPESJul 2, 2024
Details
- NPI
- 1144712753
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Cianciolo
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2018
- Certification date
- Jul 2, 2024
- Last updated
- Jul 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 90114 | SC | Yes |
| 207R00000X | Internal Medicine | OT018302 | PA |
Practice location
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-4644
Mailing address
801 Ostrum StBethlehem, PA 18015-1000
Phone 484-526-4644
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