Individual
MICHELE R PICCONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 SUGARTOWN RD, WAYNE, PA 19087-3029
(484) 367-7346
(484) 367-7359
Mailing address
68 E LANCASTER AVE FL 1, PAOLI, PA 19301-1420
(484) 367-7346
(484) 367-7359
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA05469100
NJ
207W00000X
Ophthalmology Physician
Primary
MD034243E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0153125
—
NJ
Enumeration date
08/09/2006
Last updated
11/04/2023
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