Organization
COMPREHENSIVE MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTONIO CICCONE DO (OWNER)
(973) 751-2060
Entity
Organization
Contact information
Practice address
413 KING GEORGE RD STE 205, BASKING RIDGE, NJ 07920-2817
(973) 751-2060
(973) 751-2291
Mailing address
PO BOX 599, ROSELAND, NJ 07068-0599
(973) 493-3152
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MB05723
NJ
Other
Enumeration date
08/01/2008
Last updated
03/09/2022
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