Individual
CARL F CRICCO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
315 PARK AVE, HOBOKEN, NJ 07030
(201) 656-7688
Mailing address
PO BOX 640, BELLEVILLE, NJ 07109
(973) 759-8002
(973) 759-7545
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA0398990000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1741501
—
NJ
Enumeration date
02/14/2006
Last updated
03/27/2008
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