Individual
JOHN M CICCONE
Active
Individual
JOHN M CICCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
34588
SC
207RC0000X
Cardiovascular Disease Physician
MA37832
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010000347500
AMERICHOICE
—
01
—
0199893000
AMERIHEALTH
—
01
—
0963382002
CIGNA
—
01
—
1075758
HORIZON MERCY
—
05
—
1747304
—
NJ
01
—
1K9389
HEALTHNET
—
01
—
28F431
WELLCHOICE
—
01
—
4094234
AETNA
—
01
—
5710570
GHI
—
01
—
81554
AMERIGROUP
—
01
—
ES226
OXFORD
—
Enumeration date
10/04/2005
Last updated
10/19/2015
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