Individual provider · Type 1 NPI

Nicole Rose Ciccia

Surgical Physician Assistant · New Haven, CT

NPI number 1912413139 Active

Practice location

20 York St
New Haven, CT 06510-3220

Call (203) 688-4242 Map

Mailing address

71 Joy Rd Apt C
Milford, CT 06460-6052

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Surgical Physician Assistant Primary 363AS0400X4036 (CT)

Surgical Physician Assistant: Definition to come...

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About NPI 1912413139

Nicole Rose Ciccia's National Provider Identifier is 1912413139, issued on Dec 26, 2017. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New Haven, CT. The record was last updated on Nov 23, 2021.