Sidwa Enterprise Ii, LLC

NPI #1902252315 in Forked River, New Jersey

Provider Information

NPI Number
1902252315
Entity Type
Organization
Organization Name
Sidwa Enterprise Ii, LLC
Primary Specialty
Nurse Practitioner - Adult Health
Enumeration Date
May 4, 2016
Last Updated
May 10, 2016

Practice Location

Address
1043 MONTAUK DR
ZIP Code
08731-2004
Phone
(609) 339-5667

Authorized Official

Name
VICKIE S SIDWA, ANP
Title
PRESIDENT OWNER
Phone
(609) 339-5667

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - Adult HealthAdult Health

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