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Individual

ROBERT J. SIDWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
509 N BROAD ST, WOODBURY, NJ 08096-1617
(856) 853-2001
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08245200
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0135356
NJ
Enumeration date
06/27/2007
Last updated
06/15/2023
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