Organization
ANDRE CICERON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRE CICERON M.D. (OWNER)
(609) 926-0662
Entity
Organization
Contact information
Practice address
207 SHORE RD, SOMERS POINT, NJ 08244-2759
(609) 926-0662
(609) 927-8391
Mailing address
621 BANNING AVE, NORTHFIELD, NJ 08225-1205
(609) 926-0662
(609) 927-8391
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA03235900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0866601
—
NJ
Enumeration date
02/07/2008
Last updated
02/07/2008
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