Individual
JEREMY SIPPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
205 MADISON AVE, LUMBERTON, NJ 08048-2901
(609) 261-3354
(609) 261-8814
Mailing address
296 FLOUR LN, LANGHORNE, PA 19047-1527
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40QA01069900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1551867
AMERIHEALTH
NJ
01
—
2329356
UNITEDHEALTHCARE MPIN
NJ
01
—
4520455
CIGNA PPO
NJ
Enumeration date
10/11/2006
Last updated
07/08/2007
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