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

David Ciccolella, MD

Individual provider Pulmonary Disease Physician · NPI 1043208044

David Ciccolella, MD is a Pulmonary Disease in Philadelphia, Pennsylvania. Graduated from State University of New York at Buffalo School of Medicine in 1981, 45 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
45
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
PA
In the registry since
2005
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

3401 N Broad St 7th Flr Parkinson Pavilion
Philadelphia, PA 19140-5103
Phone: (215) 707-5864
Fax: (215) 707-6867
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pulmonary Disease Physician (primary) Taxonomy 207RP1001X · Licence MD 052905L (PA)

Record details

NPI number1043208044
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 12, 2005
Last updated in NPPESMay 12, 2016
Mailing address2450 W Hunting Park Ave, Philadelphia, PA 19182-7783

Medicare enrollment

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

Medicare specialtyPULMONARY DISEASE
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 1981 (45 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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