| Ronald P. Ciccone, M.d. P.c. | |
|
900 Haddon Ave Suite 136 Collingswood NJ 08108-2101 | |
| (856) 869-3126 | |
| (856) 833-2050 |
| Full Name | Ronald P. Ciccone, M.d. P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 900 Haddon Ave, Collingswood, New Jersey |
| Authorized Official Name and Position | Ronald P Ciccone (PRESIDENT) |
| Authorized Official Contact | 18568693126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald P. Ciccone, M.d. P.c. 900 Haddon Ave Suite 136 Collingswood NJ 08108-2101 Ph: (856) 869-3126 | Ronald P. Ciccone, M.d. P.c. 900 Haddon Ave Suite 136 Collingswood NJ 08108-2101 Ph: (856) 869-3126 |
| NPI Number | 1174947659 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Medicare PECOS PAC ID | 2860625621 |
|---|---|
| Medicare Enrollment ID | O20140501000056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174947659 | NPI | - | NPPES |
| 1376578237 | Other | NJ | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (New Jersey) | Primary |
| Provider Name | Ronald P Ciccone |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376578237 PECOS PAC ID: 0244142859 Enrollment ID: I20031103000377 |
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