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Individual
COLLEEN CICCOSANTI
Active
Individual
COLLEEN CICCOSANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MB10893500
NJ
207RH0000X
Hematology (Internal Medicine) Physician
Primary
25MB10893500
NJ
207RH0003X
Hematology & Oncology Physician
25MB10893500
NJ
207RX0202X
Medical Oncology Physician
25MB10893500
NJ
Other
Enumeration date
03/30/2017
Last updated
07/12/2024
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