Siciliano, Mary
Siciliano, Mary is an individual health care provider with primary practice located at 755 Memorial Pkwy Suite 300, Phillipsburg NJ 08865-2748. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Siciliano, Mary can be contacted via phone (908) 454-6303.Contact Information
Primary practice address
755 Memorial Pkwy Suite 300
Phillipsburg NJ 08865-2748
Phone: (908) 454-6303
Fax: (908) 454-2289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MB62184 | New Jersey |
Profile Details
| NPI number | 1205834454 |
|---|---|
| LBN Legal business name | Siciliano, Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Sep 14th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205834454 | NPPES |
| New Jersey | MEDICAID | 7237308 |
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