Individual
MICHAEL SIDERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
1 GUSTAVE L LEVY PL, NEW YORK, NY 10029-6504
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA12471000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2020
Last updated
11/25/2024
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