| Silver Lake Medical Pc | |
|
36 Newark Avenue Suite 324 Belleville NJ 07109 | |
| (973) 751-2060 | |
| (973) 751-3334 |
| Full Name | Silver Lake Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 36 Newark Avenue, 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 36 Newark Avenue Suite 324 Belleville NJ 07109 Ph: (973) 751-2060 | Silver Lake Medical Pc 36 Newark Avenue Suite 324 Belleville NJ 07109 Ph: (973) 751-2060 |
| NPI Number | 1538366679 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538366679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MB57523 (New Jersey) | Primary |
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