Doctor Name: | HELEN CICIRELLO |
NPI Number: | 1720428428 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | D0052923 |
Business Practice Address: | 40845 Forest Glen Dr Leesburg, VA - 201756557 |
Business Phone Number: | 7033270403 |
Business Fax Number: | |
Mailing Address: | 40845 Forest Glen Dr, LEESBURG |
State: | VA |
Postal Code: | 201756557 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/27/2013 |
NPI Last Update Date: | 01/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | D0052923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |