Individual
DR. COLLEEN MARY SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
100 MENLO PARK STE 408, EDISON, NJ 08837
(732) 826-5159
(732) 826-2107
Mailing address
104 MARKET ST, PERTH AMBOY, NJ 08861-4412
(732) 826-5159
(732) 826-2107
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA0056700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9042709
—
NJ
Enumeration date
12/20/2006
Last updated
03/25/2019
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