Ciccone, Antonio

Ciccone, Antonio is an sole proprietor health care provider with primary practice located at 727 Joralemon St , Belleville NJ 07109-1455. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ciccone, Antonio can be contacted via phone (973) 751-2060.

Contact Information

Primary practice address
727 Joralemon St Belleville NJ 07109-1455
Phone: (973) 751-2060
Fax: (973) 751-2291
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB05752300 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 04283 Kentucky
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 210336 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB05752300 New Jersey

Profile Details

NPI number 1750413464
LBN Legal business name Ciccone, Antonio
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2007
Last updated Jan 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750413464 NPPES
New Jersey MEDICAID 6163700
New Jersey Other 31D0108390

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