Healthcare Provider Details

I. General information

NPI: 1194722991
Provider Name (Legal Business Name): KRISTEN M SIKORSKI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2005
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 VREELAND DR
SKILLMAN NJ
08558-2621
US

IV. Provider business mailing address

24 VREELAND DR
SKILLMAN NJ
08558-2621
US

V. Phone/Fax

Practice location:
  • Phone: 609-921-2202
  • Fax: 609-924-1468
Mailing address:
  • Phone: 609-921-2202
  • Fax: 609-924-1468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMA07571
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: