SILVER LAKE MEDICAL PC

BELLEVILLE, NJ
NPI1538366679
Entity TypeOrganization
Authorized ContactANTONIO CICCONE
President
973-751-2060
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NJ  MB57523)
Enumeration Date2007-07-02
Last Update Date2008-06-16
Business Address
SILVER LAKE MEDICAL PC
36 NEWARK AVENUE SUITE 324
BELLEVILLE, NJ 07109
Phone number: 973-751-2060
Mailing Address
SILVER LAKE MEDICAL PC
36 NEWARK AVENUE SUITE 324
BELLEVILLE, NJ 07109
Phone number: 973-751-2060
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