31D1017512 CLIA NUMBER - RONALD P CICCONE, MD PC

Laboratory Demographics

CLIA Number: 31D1017512

Facility Name: RONALD P CICCONE, MD PC

Facility Address:
900 HADDON AVENUE #136
COLLINGSWOOD, NJ
ZIP 08108
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Facility Phone Number: 856 869-3126

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376578237

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	31D1017512
LAB Type	Physician Office
Facility Name	RONALD P CICCONE, MD PC
Street	900 HADDON AVENUE #136
City	COLLINGSWOOD
State	NJ
ZIP	08108
Phone	856 869-3126
CertificateType	4
CertificateEffectiveDate	9/29/2023
CertificateExpirationDate	9/28/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024