Individual
CYRIL SANCIANGCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 KEW DR, SPRINGFIELD, NJ 07081-2505
(973) 714-1152
Mailing address
90 KEW DR, SPRINGFIELD, NJ 07081-2505
(973) 714-1152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40QA00684300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTQA00684300
STATE PT LICENSE
NJ
Enumeration date
02/27/2020
Last updated
02/27/2020
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