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Individual

DR. MICHELLE LEIGH SIRAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
30 PROSPECT AVE BLDG 3, HACKENSACK, NJ 07601-1915
(551) 996-2042
Mailing address
3600 ROUTE 66, FL 3, NEPTUNE, NJ 07753-2645
(732) 807-0800

Taxonomy

Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
25MA09096300
NJ

Other

Enumeration date
06/17/2008
Last updated
04/30/2021
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