Individual
NICOLE CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1255 BROAD ST, CLIFTON, NJ 07013-3398
(973) 845-4085
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00970700
NJ
Other
Enumeration date
10/03/2025
Last updated
12/16/2025
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