Ciccone, Michael P

Ciccone, Michael P is an individual health care provider with primary practice located at 36 Newark Ave Suite 200 Urology Consultants Pa, Belleville NJ 07109-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Ciccone, Michael P can be contacted via phone (973) 759-6950.

Contact Information

Primary practice address
36 Newark Ave Suite 200 Urology Consultants Pa Belleville NJ 07109-4121
Fax: (973) 759-6945
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 25MA06919000 New Jersey

Profile Details

NPI number 1649294034
LBN Legal business name Ciccone, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Mar 9th, 2022 - about 2 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 1649294034 NPPES
New Jersey MEDICAID 0004065

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