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Individual

GARY ROSS SIRKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
825 TOWN CENTER DRIVE, SUITE 152, LANGHORNE, PA 19047-3030
(215) 741-3510
(215) 741-3519
Mailing address
PO BOX 538, LEVITTOWN, PA 19058-0538
(215) 741-3510
(215) 741-3519

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
OS010180L
PA
207RN0300X
Nephrology Physician
Primary
OS010180L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019054860003
PA
Enumeration date
05/31/2006
Last updated
12/13/2024
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