Provider Demographics
NPI:1992976674
Name:JOSEPH J. CIOCCA MD LLC
Entity type:Organization
Organization Name:JOSEPH J. CIOCCA MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:CIOCCA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:724-888-5040
Mailing Address - Street 1:1200 SHARON RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER
Mailing Address - State:PA
Mailing Address - Zip Code:15009-3148
Mailing Address - Country:US
Mailing Address - Phone:724-888-5040
Mailing Address - Fax:724-371-0911
Practice Address - Street 1:1200 SHARON RD
Practice Address - Street 2:
Practice Address - City:BEAVER
Practice Address - State:PA
Practice Address - Zip Code:15009-3148
Practice Address - Country:US
Practice Address - Phone:724-888-5040
Practice Address - Fax:724-371-0911
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA097342Medicare PIN