Provider Demographics
NPI:1871658724
Name:SINQUEE, DIANNE M (MD)
Entity Type:Individual
Prefix:
First Name:DIANNE
Middle Name:M
Last Name:SINQUEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:30 BERGEN ST
Mailing Address - Street 2:ADMC 12 1205
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07107-3000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 BERGEN ST
Practice Address - Street 2:PICU
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-2496
Practice Address - Country:US
Practice Address - Phone:973-972-3784
Practice Address - Fax:973-972-7597
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2009-08-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA050723002080P0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0203XAllopathic & Osteopathic PhysiciansPediatricsPediatric Critical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5400104Medicaid
NJ5400104Medicaid
NJG50393Medicare UPIN