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Nicole A Ciullo

Female

Medical Specialty

Registered Dietitian Or Nutrition Professional

Professional ID

NPI: 1366745762
PECOS ID: 5294996963
Enrollment ID: I20120406000038
Credential(MD, DO, DPM):
Medical School:
Medical School Graduation Year: 2004

Location

Address1: 12401 Academy Rd
Address2:
City: Philadelphia
State: Pennsylvania
Zip Code: 19154
Phone Number: (215)637-3100

Location

Address1: 1703 Langhorne Newton Rd
Address2: Suite 1
City: Langhorne
State: Pennsylvania
Zip Code: 19047
Phone Number: (215)968-3655

Location

Address1: 230 N Maple Ave
Address2: Suite B10
City: Marlton
State: New Jersey
Zip Code: 08053
Phone Number: (856)396-2500

Medicare

Medicare Assignment: Yes
Report Quality of Care to Physician Quality Reporting System (PQRS):
Used Electronic health record (EHR):