Individual
MICHAEL R SICAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
499 N RTE 17, PARAMUS, NJ 07652-3001
(908) 273-4300
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015934
NY
363A00000X
Physician Assistant
22630
CA
363A00000X
Physician Assistant
Primary
25MP00644100
NJ
Other
Enumeration date
12/18/2012
Last updated
11/11/2021
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