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NPI Code Detail

MEDICARE: MISS SAMEERAH SIDDEQUAH HARRIS APN

MEDICARE: MISS SAMEERAH SIDDEQUAH HARRIS APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner26NJ00463700NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366781569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SAMEERAH SIDDEQUAH HARRIS APN
Provider Business Mailing Address
First Line : 1 N WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-1875
Country : US
Telephone Number : 609-567-0434
Fax Number : 609-567-1169
Provider Business Practice Location Address
First Line : 3003 ENGLISH CREEK AVE STE C6
Second Line :
City : EGG HARBOR TOWNSHIP
State : NJ
Zip : 08234-4818
Country : US
Telephone Number : 609-481-3185
Fax Number : 609-569-0104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2013
Last Update Date : 03/17/2018

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Directions to “ MISS SAMEERAH SIDDEQUAH HARRIS APN” Practice Location

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