Dr CARMINE CICCARELLI is a male medical professional, specializing in Orthopedic Surgery. He graduated in 1979 from Univ Of Med & Dentistry Of Nj, Nj Dental School.
TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC
140 HAZARD AVE
SUITE 101
ENFIELD
CT
060825424
Tel: 8602722940
| Npi | 1285615393 |
| Pac Id | 0749277119 |
| Professional Enrollment Id | I20111222000473 |
| Last Name | CICCARELLI |
| First Name | CARMINE |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIV OF MED & DENTISTRY OF NJ, NJ DENTAL SCHOOL |
| Graduation Year | 1979 |
| Primary Specialty | ORTHOPEDIC SURGERY |
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| Organization Legal Name | TRINITY HEALTH OF NEW ENGLAND PROVIDER NETWORK ORGANIZATION INC |
| Group Practice Pac Id | 0941113567 |
| Number Of Group Practice Members | 409 |
| Line 1 Street Address | 140 HAZARD AVE |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | ENFIELD |
| State | CT |
| Zip Code | 060825424 |
| Phone Number | 8602722940 |
| Hospital Affiliation Ccn 1 | 070008 |
| Hospital Affiliation Lbn 1 | JOHNSON MEMORIAL HOSPITAL |
| Hospital Affiliation Ccn 2 | 070025 |
| Hospital Affiliation Lbn 2 | HARTFORD HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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