Individual
DR. THEODORE B SICILIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
720 S MAIN ST, WEST CREEK, NJ 08092-3121
(609) 597-9333
(609) 597-4481
Mailing address
720 S MAIN ST, WEST CREEK, NJ 08092-3121
(609) 597-9333
(609) 597-4481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00170300
NJ
111N00000X
Chiropractor
X010479
NY
Other
Enumeration date
01/08/2007
Last updated
07/08/2007
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