NPI 1396536645

Louis J Ciccolello

Practitioner Peer Specialist Atlantic City, NJ

Practice location

Address: 1925 Pacific Ave, Atlantic City, NJ 08401-6713
Phone: (609) 345-4000
Mailing address: 6550 Delilah Rd STE 301, Egg Harbor Twp, NJ 08234-5102

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X Licence 50683 (NJ)

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Registry record

NPI: 1396536645
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 May 2025
Record last updated: 15 May 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.