Provider Demographics
NPI:1073553863
Name:SIRCH, BARBARA A (MSN, APRN)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:A
Last Name:SIRCH
Suffix:
Gender:F
Credentials:MSN, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 EASTON AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08873
Mailing Address - Country:US
Mailing Address - Phone:908-616-9311
Mailing Address - Fax:732-325-0755
Practice Address - Street 1:710 EASTON AVE
Practice Address - Street 2:SUITE D
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1855
Practice Address - Country:US
Practice Address - Phone:908-616-9311
Practice Address - Fax:732-325-0755
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NNO6199200364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health