Silver Lake Medical, Pc in Belleville - Adult Medicine
Silver Lake Medical, Pc - NPI 1275728842
Silver Lake Medical, Pc is a Adult Medicine in Belleville, New Jersey. Silver Lake Medical, Pc practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Silver Lake Medical, Pc is 1275728842. The last update date is 2010-03-12.
Silver Lake Medical, Pc's current location address is 50 Newark Ave, Belleville, New Jersey. You can contact this provider via phone number 9737512060 and fax number 9737513334. The mailing address for Silver Lake Medical, Pc is 50 Newark Ave, Belleville, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Silver Lake Medical, Pc |
|---|---|
| Address | 50 Newark Ave, Belleville, New Jersey |
| Phone Number | 9737512060 |
| Fax Number | 9737513334 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ciccone Antonio |
| Credentials | DO |
| Telephone Number | 9737512060 |
NPI Number Detail
| NPI Number | 1275728842 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2010-03-12 |
Provider Mailing Address Detail
| Address | 50 Newark Ave |
|---|---|
| City | Belleville |
| State | New Jersey (NJ) |
| Post Code | 71091185 |
| Phone Number | 9737512060 |
| Fax Number | 9737513334 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | MB057523 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique 10-digit identifier code issued to Silver Lake Medical, Pc by the Centers for Medicare & Medicaid Services?
The Silver Lake Medical, Pc has been assigned the NPI (National Provider Identifier) 1275728842 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Silver Lake Medical, Pc's facilities are situated?
The facilities of Silver Lake Medical, Pc are physically located at the following address: 50 Newark Ave, Belleville, NJ, 71091185.
What is Silver Lake Medical, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Silver Lake Medical, Pc's specialized field of practice is Adult Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1275728842 to Silver Lake Medical, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1275728842 to Silver Lake Medical, Pc on 2007-09-07.
As of what date were the Silver Lake Medical, Pc's details last updated?
The information pertaining to the Silver Lake Medical, Pc, including its address, specialty, and other details, was most recently updated on 2010-03-12.
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