Individual
SARA MICCICHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
119 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-7300
Mailing address
119 WHITE HORSE PIKE, HADDON HEIGHTS, NJ 08035-1909
(856) 547-7300
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
26NJ00472900
NJ
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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