Doctor Name: | MR. DAVID MICHAEL SILEO |
NPI Number: | 1619234382 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RN MS ACNP |
License Number: | RN257745L |
Business Practice Address: | 1014 Juniper West Deptford, NJ - 08096 |
Business Phone Number: | 8568486882 |
Business Fax Number: | |
Mailing Address: | 1014 Juniper, WEST DEPTFORD |
State: | NJ |
Postal Code: | 08096 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/18/2012 |
NPI Last Update Date: | 04/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0400X |
License Number: | RN257745L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Case Management |
Taxonomy Definition: |