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Individual

MS. LEE SARAH SIDIQI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
622 STOKES RD, SUITE A, MEDFORD, NJ 08055-2913
(609) 953-0908
(609) 953-5978
Mailing address
622 STOKES RD, SUITE A, MEDFORD, NJ 08055-2913
(609) 953-0908
(609) 953-5978

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NR16065700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
26NR16065700
MEDICAL LICENSE NUMBER
NJ
Enumeration date
01/07/2008
Last updated
02/17/2015
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