Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cynthia Ciccotelli, MD

Individual provider Family Medicine Physician · NPI 1467036111

Cynthia Ciccotelli, MD is a Family Practice in Bloomsburg, Pennsylvania. Qualified in 2021, 5 years ago. Practices with Phoenix Rehabilitation and Health Services Inc, a 2,720-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Pennsylvania.

Years since qualifying
5
Licensed in
PA
In the registry since
2021
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

240 Mall Blvd
Bloomsburg, PA 17815-8306
Phone: (570) 784-8303
Fax: (570) 387-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD486011 (PA)

Record details

NPI number1467036111
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025
Mailing address100 N Academy Ave Ste 140, Danville, PA 17822-4903

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Phoenix Rehabilitation And Health Services Inc — 2720 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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