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Individual

MIGUEL SIERRA GARCIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
99 GORGE RD APT 1511, EDGEWATER, NJ 07020-1097
(718) 514-4651
Mailing address
99 GORGE RD APT 1511, EDGEWATER, NJ 07020-1097
(718) 514-4651

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22651800
NJ
363LF0000X
Family Nurse Practitioner
Primary
26NJ15501900
NJ

Other

Enumeration date
12/05/2017
Last updated
02/25/2026
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