Individual
JEFFREY S CICONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1092 OLD CHURCHMANS RD, NEWARK, DE 19713-2102
(302) 472-9880
(302) 472-9614
Mailing address
4923 OGLETOWN STANTON RD, SUITE 200, NEWARK, DE 19713-2081
(302) 225-0451
(302) 225-0470
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
C10005608
DE
207RN0300X
Nephrology Physician
D0057385
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001044001
—
DE
05
—
8732108
—
NJ
05
—
952500902
—
MD
Enumeration date
07/13/2005
Last updated
06/17/2021
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