Silver Lake Medical, PC
NPI #1750875589 in Belleville, New Jersey
Provider Information
- NPI Number
- 1750875589
- Entity Type
- Organization
- Organization Name
- Silver Lake Medical, PC
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- Jun 15, 2018
- Last Updated
- Jun 15, 2018
Practice Location
- Address
- 727 JORALEMON ST
- City
- Belleville
- State
- New Jersey
- ZIP Code
- 07109-1455
- Phone
- (973) 751-2060
Authorized Official
- Name
- ANTONIO CICCONE, DO
- Title
- MEDICAL DIRECTOR
- Phone
- (973) 751-2060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Pain Medicine - Pain Medicine — Pain Medicine |
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