Individual
MR. JOHN P SICILIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2510 BELMAR BLVD, J1 J2, WALL, NJ 07719
(732) 681-1122
(732) 681-0999
Mailing address
605 MAIN ST, HACKENSACK, NJ 07601-5914
(201) 488-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00887200
NJ
Other
Enumeration date
08/31/2006
Last updated
01/14/2021
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