Individual
RENATA SIRUCKOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2301 E EVESHAM RD, VOORHEES, NJ 08043-4501
(856) 770-9300
Mailing address
401 ROUTE 73 N STE 320, MARLTON, NJ 08053-3426
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
25ME00071201
NJ
Other
Enumeration date
06/27/2020
Last updated
11/30/2020
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