Individual
SIARA NICOLE KOLPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSITANT
Contact information
Practice address
196 PATERSON AVE STE 302, EAST RUTHERFORD, NJ 07073-1841
(201) 500-9450
(201) 500-9451
Mailing address
196 PATERSON AVE STE 302, EAST RUTHERFORD, NJ 07073-1841
(201) 500-9450
(201) 500-9451
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
08/15/2018
Last updated
07/04/2024
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