| Doctor Name: | ANTHONY JULIUS CICHOCKI |
| NPI Number: | 1023078227 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNA |
| License Number: | 0001109176 |
| Business Practice Address: | 2949 West Front Street Richlands, VA - 24641 |
| Business Phone Number: | 2765966160 |
| Business Fax Number: | |
| Mailing Address: | 2951 West Front Street, Suite 3050 RICHLANDS |
| State: | VA |
| Postal Code: | 24641 |
| Phone Number: | 2769638504 |
| Fax Number: | 2769636642 |
| NPI Enumeration Date: | 03/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0000X |
| License Number: | 0001109176 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | General Practice |
| Taxonomy Definition: | |