Provider Demographics
NPI:1881809069
Name:CIOCCA, ROBIN M (DO)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:M
Last Name:CIOCCA
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Gender:F
Credentials:DO
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Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:SUITE 275 LANKENAU MED SCI BLDG.
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:610-642-1908
Mailing Address - Fax:610-642-6808
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:SUITE 275 LANKENAU MED SCI BLDG.
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:610-642-1908
Practice Address - Fax:610-642-6808
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2015-10-21
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Provider Licenses
StateLicense IDTaxonomies
PAOS0123612086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1020168080002Medicaid
PA085897HK1Medicare PIN