Individual
SYDNEY HISERODT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 JAMES ST, FLORHAM PARK, NJ 07932-1346
(973) 822-3879
Mailing address
300 GRAND AVE, HACKETTSTOWN, NJ 07840-2133
(908) 917-2003
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
26NR20272400
NJ
363LW0102X
Women's Health Nurse Practitioner
Primary
26NJ15107600
NJ
Other
Enumeration date
12/01/2023
Last updated
08/31/2024
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