Healthcare Provider Details

I. General information

NPI: 1093817512
Provider Name (Legal Business Name): GERALD CIOCE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2006
Last Update Date: 11/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 HIGH ST SUITE 205
NEWTON NJ
07860-9604
US

IV. Provider business mailing address

222 HIGH ST SUITE 205
NEWTON NJ
07860-9604
US

V. Phone/Fax

Practice location:
  • Phone: 973-579-2100
  • Fax: 973-579-6638
Mailing address:
  • Phone: 973-579-2100
  • Fax: 973-579-6638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number219884
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number25MA08401200
License Number StateNJ
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number25MA08401200
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: