Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN M CICCONE, MD
ActiveCardiovascular Disease · MT. PLEASANT, SC
Registration Details
- NPI Number
- 1750378824
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2005 (20.596518616404 yrs)
- Last Updated
- Oct 19, 2015
- Licenses
-
MA37832 (NJ)34588 (SC)
Practice Information
- Address
-
3510 HWY 17 NORTHSTE 325MT. PLEASANT, SC, 294668232Browse SC providers · Browse ZIP 29466
- Phone
- 8436068982
- Fax
- 8436068077
- Primary Specialty
-
Cardiovascular Disease
207RC0000X
- Additional Specialty
- Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.