Segal, Ilia

Segal, Ilia is an individual health care provider with primary practice located at 2333 Morris Avenue Suite A1, Union NJ 07083-5746. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Segal, Ilia can be contacted via phone (908) 964-1964.

Contact Information

Primary practice address
2333 Morris Avenue Suite A1 Union NJ 07083-5746
Phone: (908) 964-1964
Fax: (908) 964-6286
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 25MA03979600 New Jersey
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X MA39796 New Jersey
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X MA39796 New Jersey
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA03979600 New Jersey

Profile Details

NPI number 1699866871
LBN Legal business name Segal, Ilia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699866871 NPPES
New Jersey MEDICAID 1147901

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