Individual
DR. NOAH SIDEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 S 4TH ST, PHILADELPHIA, PA 19147-1570
(267) 861-3685
Mailing address
725 TASKER ST, PHILADELPHIA, PA 19148-1250
(215) 441-6000
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
190624951
PA
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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