Provider Demographics
NPI:1578725537
Name:CIPRIANO, CARA ALESSANDRA (MD)
Entity Type:Individual
Prefix:DR
First Name:CARA
Middle Name:ALESSANDRA
Last Name:CIPRIANO
Suffix:
Gender:F
Credentials:MD
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Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3400 SPRUCE STREET
Mailing Address - Street 2:2 SILVERSTEIN BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4206
Mailing Address - Country:US
Mailing Address - Phone:215-662-3340
Mailing Address - Fax:215-349-5928
Practice Address - Street 1:3400 SPRUCE STREET
Practice Address - Street 2:2 SILVERSTEIN BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4206
Practice Address - Country:US
Practice Address - Phone:215-662-3340
Practice Address - Fax:215-349-5928
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD474010207X00000X
MO2014013911207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1578725537Medicaid
ILENROLLEDMedicaid