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Organization

RONALD P. CICCONE, M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RONALD P CICCONE MD (PRESIDENT)
18568693126
Entity
Organization

Contact information

Practice address
900 HADDON AVE, SUITE 136, COLLINGSWOOD, NJ 08108-2101
(856) 869-3126
(856) 833-2050
Mailing address
900 HADDON AVE, SUITE 136, COLLINGSWOOD, NJ 08108-2101
(856) 869-3126
(856) 833-2050

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1376578237
INDIVIDUAL NPI
NJ
Enumeration date
02/05/2014
Last updated
02/05/2014
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