Individual
DR. JAGDISH KAUR SIDHU
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
N.D.
Contact information
Practice address
220 CLOSTER DOCK RD, CLOSTER, NJ 07624-1905
(201) 768-3900
(201) 768-3840
Mailing address
220 CLOSTER DOCK RD, CLOSTER, NJ 07624-1905
(201) 768-3900
(201) 768-3840
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27092
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0639109
—
NJ
Enumeration date
06/06/2006
Last updated
07/08/2007
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