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Individual

SYIEDAH JILES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
30 FRANKLIN AVE, MAPLEWOOD, NJ 07040-2919
(862) 438-4161
Mailing address
2933 VAUXHALL RD, SUITE 7 #1084, VAUXHALL, NJ 07088
(908) 244-1338

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
NJ
347C00000X
Private Vehicle
NJ

Other

Enumeration date
04/10/2025
Last updated
04/10/2025
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