# GERARD T CICALESE MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467410373
- **Authorized official:** GERARD ROBERT CICAIESE MD (DOCTOR)
- **Authorized official phone:** (973) 751-4300

## Contact information

- **Practice address:** 330 WASHINGTON AVE, BELLEVILLE, NJ 07109
- **Practice address phone:** (943) 751-4300
- **Practice address fax:** (973) 751-7577
- **Mailing address:** 330 WASHINGTON AVE, BELLEVILLE, NJ 07109
- **Mailing address phone:** (943) 751-4300
- **Mailing address fax:** (973) 751-7577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MA56561 | NJ | Yes |

## Other

- **Enumeration date:** 05/02/2006
- **Last updated:** 09/24/2007
