Individual
TIFFANY MARIAM CUELLO SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1103 US HIGHWAY 46, LEDGEWOOD, NJ 07852-9738
(866) 389-2727
Mailing address
89 CONNELLY AVE, BUDD LAKE, NJ 07828-2528
(201) 737-8622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01366000
NJ
Other
Enumeration date
03/30/2023
Last updated
07/29/2023
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