Individual
DR. JOHN I. SIEKIERKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
90 BRICK RD, MARLTON, NJ 08053-2177
(856) 355-6760
(856) 355-6061
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
25MB05718100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5181305
—
NJ
Enumeration date
05/26/2006
Last updated
02/06/2014
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