Organization
CONSULTANTS IN CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN CICCONE MD (TREASURER)
(973) 467-1544
Entity
Organization
Contact information
Practice address
741 NORTHFIELD AVE, SUITE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 530-3554
Mailing address
741 NORTHFIELD AVE, SUITE 205, WEST ORANGE, NJ 07052-1174
(973) 467-1544
(973) 530-3554
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0099908000
AMERIHEALTH
NJ
05
—
2793202
—
NJ
01
—
7648274
AETNA
NJ
Enumeration date
05/08/2006
Last updated
08/22/2020
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