Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Emilio Ciccone, PA-C

Individual provider Physician Assistant · NPI 1124573381

Mr. Emilio Ciccone, PA-C is a Physician Assistant in Philadelphia, Pennsylvania. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

130 S 22nd St Apt 1R
Philadelphia, PA 19103-4351
Phone: (267) 408-0506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1124573381
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 17, 2016
Last updated in NPPESAugust 17, 2016

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