Sean S Ciullo, MD
Surgery, Pediatric Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1215199799
StatusActive
Last updated in NPPESAug 15, 2024
Details
- NPI
- 1215199799
- Entity type
- Individual (NPI-1)
- Name
- Sean S Ciullo
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 26, 2008
- Certification date
- Aug 15, 2024
- Last updated
- Aug 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | MD457437 | PA | Yes |
| 208600000X | Surgery | MD457437 | PA |
Practice location
160 E Erie AvePhiladelphia, PA 19134-1011
Phone 215-427-5446 · Fax 215-427-4616
Mailing address
Po Box 13579Reading, PA 19612-3579
Phone 484-628-1324
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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