Individual
DIANE SIRAJUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MSN
Contact information
Practice address
333 COTTMAN AVE, PHILADELPHIA, PA 19111-2434
(215) 983-5187
Mailing address
3429 DEBRA DR, BENSALEM, PA 19020-1508
(215) 983-5187
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F11220761
PA
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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