Provider Demographics
NPI:1386606085
Name:CIGANEK, ERIC F (MD)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:F
Last Name:CIGANEK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-0550
Mailing Address - Country:US
Mailing Address - Phone:410-778-1037
Mailing Address - Fax:
Practice Address - Street 1:629 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:MD
Practice Address - Zip Code:21617-1144
Practice Address - Country:US
Practice Address - Phone:410-758-5435
Practice Address - Fax:410-758-0749
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD35048207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
41199702OtherBCBS
0001OtherBCBS
344316950OtherAETNA
443016OtherCOVENTRY
MD444311000Medicaid
MD444311000Medicaid
529SMedicare PIN