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Dr. Jared Cicero, DPM
Foot & Ankle Surgery Podiatrist in Pottsville, Pennsylvania
NPI 1942722152

Jared Cicero is a Foot & Ankle Surgery Podiatrist based in Pottsville, PA and is specialized in Foot & Ankle Surgery. Jared Cicero practices in Pottsville, PA and has the professional credentials of DPM. The NPI Number for Jared Cicero is 1942722152 and holds a License No. 481 (Pennsylvania).

The current practice location address for Jared Cicero is 48 Tunnel Rd Ste 203, Pottsville, PA and can be reached out via phone at 570-624-4777.

Location: 48 Tunnel Rd Ste 203, Pottsville, PA, 17901-3875
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942722152
Provider Name
Jared Cicero
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
48 Tunnel Rd Ste 203, Pottsville, PA, 17901-3875
Phone Number
570-624-4777
Fax Number
Provider Enumeration Date
07/10/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
481 01 KY KENTUCKY STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
48 Tunnel Rd Ste 203
City
Pottsville
State
Pennsylvania
Zip
17901
Phone Number
570-624-4777
Fax Number
person
Provider Business Mailing Address Details
Address
48 Tunnel Rd Ste 203
City
Pottsville
State
Pennsylvania
Zip
17901
Phone Number
570-624-4777
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
481 (Kentucky)
Definition
Definition to come...
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