Individual
MICHAEL L SIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1288 ROUTE 73 SOUTH, SUITE 100, MT LAUREL, NJ 08054
(856) 273-8900
(856) 802-9772
Mailing address
1288 ROUTE 73 SOUTH, SUITE 100, MT LAUREL, NJ 08054
(856) 273-8900
(856) 802-9772
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
C1-0005426
DE
207X00000X
Orthopaedic Surgery Physician
Primary
MA57454
NJ
207X00000X
Orthopaedic Surgery Physician
MD046052-L
PA
Other
Enumeration date
08/18/2006
Last updated
07/08/2007
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