Provider Demographics
NPI:1366438178
Name:SEIGEL, MARK J (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:J
Last Name:SEIGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:501 IRON BRIDGE ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728
Mailing Address - Country:US
Mailing Address - Phone:732-431-1807
Mailing Address - Fax:732-409-2777
Practice Address - Street 1:501 IRON BRIDGE ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728
Practice Address - Country:US
Practice Address - Phone:732-431-1807
Practice Address - Fax:732-409-2777
Is Sole Proprietor?:No
Enumeration Date:2005-09-27
Last Update Date:2012-09-20
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04416500207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0036784OtherGHI
2K6927OtherHEALTHNET
0110571000OtherAMERIHEALTH
MP102OtherOXFORD
0110571000OtherAMERIHEALTH
C49447Medicare UPIN