| Silver Lake Medical, Pc | |
|
50 Newark Ave Suite 205 - 207 Belleville NJ 07109-1185 | |
| (973) 751-2060 | |
| Not Available |
| Full Name | Silver Lake Medical, Pc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 50 Newark Ave, Belleville, New Jersey |
| Authorized Official Name and Position | Antonio Ciccone (PRESIDENT) |
| Authorized Official Contact | 9737512060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Silver Lake Medical, Pc 50 Newark Ave Suite 205 - 207 Belleville NJ 07109-1185 Ph: (973) 751-2060 | Silver Lake Medical, Pc 50 Newark Ave Suite 205 - 207 Belleville NJ 07109-1185 Ph: (973) 751-2060 |
| NPI Number | 1275728842 |
|---|---|
| Provider Enumeration Date | 09/07/2007 |
| Last Update Date | 03/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275728842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | MB057523 (New Jersey) | Primary |
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