Individual
JOHN B. SIRECI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 TOWNSEND AVE, BERLIN, NJ 08009-9011
(856) 322-3260
(856) 322-3061
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MB75756
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001171
—
NJ
Enumeration date
06/15/2006
Last updated
07/17/2007
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