Andre Ciceron Md is a Urology in Northfield, New Jersey. Andre Ciceron Md practices all healthcare services and medical treatments related to Urology. The NPI Number for Andre Ciceron Md is 1629256037. The last update date is 2008-02-07.
Andre Ciceron Md's current location address is 621 Banning Ave, Northfield, New Jersey. You can contact this provider via phone number 6099260662 and fax number 6099278391. The mailing address for Andre Ciceron Md is 621 Banning Ave, Northfield, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Andre Ciceron Md |
|---|---|
| Address | 621 Banning Ave, Northfield, New Jersey |
| Phone Number | 6099260662 |
| Fax Number | 6099278391 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ciceron Andre |
| Credentials | M.D. |
| Telephone Number | 6099260662 |
NPI Number Detail
| NPI Number | 1629256037 |
|---|---|
| Provider Enumeration Date | 2008-02-07 |
| Last Updated Date | 2008-02-07 |
Provider Mailing Address Detail
| Address | 621 Banning Ave |
|---|---|
| City | Northfield |
| State | New Jersey (NJ) |
| Post Code | 82251205 |
| Phone Number | 6099260662 |
| Fax Number | 6099278391 |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
| Licence No | 25MA03235900 |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 866601 | NJ | -- |
Post Comment/ Review Below
What is the Andre Ciceron Md's 1629256037?
The Andre Ciceron Md's NPI (National Provider Identifier) Number is 1629256037. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Andre Ciceron Md?
The Andre Ciceron Md is physically situated at 621 Banning Ave, in the city of Northfield, state of NJ, with the postal code 82251205.
What is Andre Ciceron Md's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Andre Ciceron Md is Urology, and the taxonomy code that classifies this field of practice is 208800000X.
On what date did the Andre Ciceron Md receive the assignment of its 1629256037 from the Centers for Medicare & Medicaid Services?
The Andre Ciceron Md was issued its 1629256037 by the Centers for Medicare & Medicaid Services on 2008-02-07.
As of what date were the details related to Andre Ciceron Md most recently updated or revised?
The information pertaining to Andre Ciceron Md, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-07.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC