Provider Demographics
NPI:1447698089
Name:CICCONE, EMILY JANE (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:JANE
Last Name:CICCONE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:230 MACNIDER HL
Mailing Address - Street 2:CB#7593
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-0001
Mailing Address - Country:US
Mailing Address - Phone:919-960-6094
Mailing Address - Fax:919-960-9625
Practice Address - Street 1:230 MACNIDER HL
Practice Address - Street 2:CB#7593
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-960-6094
Practice Address - Fax:919-960-9625
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2018-01-03
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Provider Licenses
StateLicense IDTaxonomies
NC2017-00273207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease