Individual
CHRISTOPHER SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R. N.
Contact information
Practice address
198 KENTUCKY WAY, FREEHOLD, NJ 07728-4653
(732) 551-1180
Mailing address
198 KENTUCKY WAY, FREEHOLD, NJ 07728-4653
(732) 551-1180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
26NR12665700
NJ
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
26NR12665700
NJ
163WM0705X
Medical-Surgical Registered Nurse
26NR12665700
NJ
Other
Enumeration date
07/01/2014
Last updated
07/01/2014
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