Organization
THEODORE B. SICILIANO,DC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE B. SICILIANO DC (PRESIDENT)
(609) 597-9333
Entity
Organization
Contact information
Practice address
720 S MAIN ST, WEST CREEK, NJ 08092-3121
(609) 597-9333
Mailing address
720 S MAIN ST, WEST CREEK, NJ 08092-3121
(609) 597-9333
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00170300
NJ
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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