Silver Lake Medical PC
NPI #1538366679 in Belleville, New Jersey
Provider Information
- NPI Number
- 1538366679
- Entity Type
- Organization
- Organization Name
- Silver Lake Medical PC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 2, 2007
- Last Updated
- Jun 16, 2008
Practice Location
- Address
- 36 NEWARK AVENUE
- Address 2
- SUITE 324
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109
- Phone
- (973) 751-2060
Authorized Official
- Name
- DR. ANTONIO CICCONE, DO
- Title
- PRESIDENT
- Phone
- (973) 751-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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