Silver Lake Medical, PC
NPI #1275728842 in Belleville, New Jersey
Provider Information
- NPI Number
- 1275728842
- Entity Type
- Organization
- Organization Name
- Silver Lake Medical, PC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Sep 7, 2007
- Last Updated
- Mar 12, 2010
Practice Location
- Address
- 50 NEWARK AVE
- Address 2
- SUITE 205 - 207
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109-1185
- Phone
- (973) 751-2060
Authorized Official
- Name
- ANTONIO CICCONE, DO
- Title
- PRESIDENT
- Phone
- (973) 751-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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