Organization
VIP WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO CICCONE DO (MEDICAL DIRECTOR)
(973) 751-2060
Entity
Organization
Contact information
Practice address
727 JORALEMON ST, BELLEVILLE, NJ 07109-1455
(973) 751-2060
(973) 751-2291
Mailing address
PO BOX 599, ROSELAND, NJ 07068-0599
(973) 751-2060
(973) 751-2291
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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