Provider Demographics
NPI:1306395819
Name:CIGANEK LLC
Entity Type:Organization
Organization Name:CIGANEK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:CIGANEK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-758-2732
Mailing Address - Street 1:633 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21617-1144
Mailing Address - Country:US
Mailing Address - Phone:410-758-2732
Mailing Address - Fax:410-758-0012
Practice Address - Street 1:633 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:410-758-2732
Practice Address - Fax:410-758-0012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-26
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Single Specialty