Siegel, Mark Eric

Siegel, Mark Eric is an individual health care provider with primary practice located at 30 Prospect Ave Imus Bldg, 3Rd Fl, Hackensack Univ. Medical Center, Hackensack NJ 07601-1914. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Siegel, Mark Eric can be contacted via phone (201) 996-2403.

Contact Information

Primary practice address
30 Prospect Ave Imus Bldg, 3Rd Fl, Hackensack Univ. Medical Center Hackensack NJ 07601-1914
Phone: (201) 996-2403
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X MA072770 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 201727 New York

Profile Details

NPI number 1053494021
LBN Legal business name Siegel, Mark Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jul 9th, 2007 - about 19 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 1053494021 NPPES
New Jersey MEDICAID 0105635

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