Individual
MISS SAMEERAH SIDDEQUAH HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3003 ENGLISH CREEK AVE STE C6, EGG HARBOR TOWNSHIP, NJ 08234-4818
(609) 481-3185
(609) 569-0104
Mailing address
1 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(609) 567-0434
(609) 567-1169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00463700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0399442
—
NJ
Enumeration date
02/07/2013
Last updated
03/17/2018
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