Individual
SIRIADE FILIPE-IZAGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
24 ABEEL ST, NEW BRUNSWICK, NJ 08901-1303
(732) 745-9800
(732) 745-9107
Mailing address
24 ABEEL ST, NEW BRUNSWICK, NJ 08901-1303
(732) 745-9800
(732) 745-9107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB07306600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121576
—
NJ
01
—
P01152917
RAILROAD MEDICARE
NJ
Enumeration date
11/08/2006
Last updated
05/08/2013
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