Active NPIIndividual provider

Dr. Dominick A Siconolfi III, DO

Emergency Medicine in Stratford, New Jersey

NPI Number1255823415
Practice location
18 E Laurel RD, Stratford, NJ 08084-1327
Fax
—
Last updated
October 2, 2024

Dominick Anthony Siconolfi is an Emergency Medicine based in Stratford, NJ. Dominick Anthony Siconolfi practices in Stratford, NJ and has the professional credentials of DO. The NPI Number for Dominick Anthony Siconolfi is 1255823415 and holds a License No. 72901 (MN). The current practice location address for Dominick Anthony Siconolfi is 18 E Laurel RD, Stratford, NJ 08084-1327 and can be reached out via phone at 856-346-7985.

Provider Profile Details

NPI Number
1255823415
Provider Name
Dominick Anthony Siconolfi
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
18 E Laurel RD, Stratford, NJ 08084-1327
Phone Number
856-346-7985
Primary Taxonomy
Emergency Medicine · 207P00000X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2018
Last Update Date
October 2, 2024
Certification Date
October 2, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
18 E Laurel RD
Stratford, NJ 08084-1327
Zip
08084-1327
Phone Number
856-346-7985
Stratford, NJ 08084Get directions →

Provider Business Mailing Address Details

Address
18 E Laurel RD
Stratford, NJ 08084-1327
City
Stratford
State
NJ
Zip
08084-1327
Phone Number
856-346-7985

License Information

License Number (1)
72901
License State (1)
MN
Taxonomy (1)
Emergency Medicine · 207P00000X
License Number (2)
25MB11059000
License State (2)
NJ
Taxonomy (2)
Emergency Medicine · 207P00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dominick A Siconolfi III, DO?

The NPI number of Dr. Dominick A Siconolfi III, DO is 1255823415. It was assigned on June 4, 2018 and is currently active in the NPPES registry.

What is the specialty of Dr. Dominick A Siconolfi III, DO?

Dr. Dominick A Siconolfi III, DO is registered under the primary taxonomy Emergency Medicine (code 207P00000X), licensed in MN under license number 72901.

Where does Dr. Dominick A Siconolfi III, DO practice?

The practice location is 18 E Laurel RD, Stratford, NJ 08084-1327. The office can be reached at 856-346-7985 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255823415 directly on the NPPES registry website.

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