Individual
DR. ROBERT PICCIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
36 PACIFIC ST, NEWARK, NJ 07105-1665
(973) 578-4808
(973) 578-2939
Mailing address
36 PACIFIC ST, STE 2B, NEWARK, NJ 07105-1665
(973) 377-2974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA55504
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4621506
—
NJ
Enumeration date
07/20/2006
Last updated
05/06/2019
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