Search › New Jersey › 207P00000X
Dominick Siconolfi, DO
NPI 1255823415 · on the registry since 2018
Practice
- Address
- 18 E Laurel Rd
Stratford, NJ 08084 - Phone
- (856) 346-7985
- Organisation at this address
- Rowansom
Surgical Nurse Assistant
Kennedy University Hospital Inc.
Kennedy Memorial Hospitals - UniversityInferred from a shared address, not stated in the registry. - Clinicians at this address
- 122
Additional practice sites
- 1000 1st Dr Nw, Austin, MN
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
- Licence states on file
- MN, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey