Individual
EMILY MARGARET CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
99 ROUTE 37 W, TOMS RIVER, NJ 08755-6423
(732) 570-4852
Mailing address
331 NEWMAN SPRINGS RD STE 220, RED BANK, NJ 07701-5792
(732) 807-0877
(201) 751-1680
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ01451000
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01451000
NJ
Other
Enumeration date
03/02/2023
Last updated
09/30/2024
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