Individual provider · Type 1 NPI
Gina Therese Cicero, MD
General Practice Physician · Tamc, HI
NPI number
1053164269
Active
Practice location
1 Jarrett White Road, Tripler Army Medical Center
Tamc, HI 96859
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MDR-8807 (HI) |
| Student in an Organized Health Care Education/Training Program | 390200000X | MDR-8807-0 (HI) |
| Military Health Care Provider | 171000000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1053164269
Gina Therese Cicero, MD's National Provider Identifier is 1053164269, issued on Apr 8, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Tamc, HI. The record was last updated on Jun 30, 2026.