Individual
JOHN J CIMINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., FACC
Contact information
Practice address
12717 S 28TH AVE STE B, BELLEVUE, NE 68123-3232
(402) 502-3723
Mailing address
12717 S 28TH AVE STE B, BELLEVUE, NE 68123-3232
(402) 502-3723
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
18713
NE
207RC0000X
Cardiovascular Disease Physician
34442
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0553750
—
IA
01
—
18713
LICENSE #
NE
01
—
34442
STATE LICENSE
IA
05
—
47083397900
—
NE
Enumeration date
07/13/2006
Last updated
05/13/2014
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