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Nicole R. Ciccia

Surgical PA · New Haven, CT

UnclaimedNPI 1912413139
Primary taxonomy
363AS0400X
Enumerated
2017-12-26
Practice location
New Haven, CT
Last NPPES update
2021-11-23

State licenses

  • CT · Physician assistant · Physician AssistantActivethrough 2027

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.