Individual
JOHN SIEDLER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EMT-B
Contact information
Practice address
3 VASSAR CT, JACKSON, NJ 08527-2342
(732) 489-2522
Mailing address
3 VASSAR CT, JACKSON, NJ 08527-2342
(732) 489-2522
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
599354
NJ
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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