Siegel, Eric Scott
Siegel, Eric Scott is an sole proprietor health care provider with primary practice located at 12 East Willow Street , Millburn NJ 07041-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Siegel, Eric Scott can be contacted via phone (973) 376-8500.Contact Information
Primary practice address
12 East Willow Street
Millburn NJ 07041-1417
Phone: (973) 376-8500
Fax: (973) 376-1820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MA68842 | New Jersey |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25MA06884200 | New Jersey |
Profile Details
| NPI number | 1275578262 |
|---|---|
| LBN Legal business name | Siegel, Eric Scott |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 25th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275578262 | NPPES |
| New Jersey | Other | 2299713 | AETNA GROUP ID |
| New Jersey | Other | 223694845 | AETNA GROUP ID |
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