Individual
CAROLYN SICKLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1945 ROUTE 33, NEPTUNE, NJ 07753-4859
(732) 776-3707
Mailing address
1083 KILKORMIC ST, TOMS RIVER, NJ 08753-3148
(908) 278-6449
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00710600
NJ
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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