Provider Demographics
NPI:1730177676
Name:SATTENSPIEL, SIGMUND L (MD)
Entity type:Individual
Prefix:
First Name:SIGMUND
Middle Name:L
Last Name:SATTENSPIEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2509
Mailing Address - Country:US
Mailing Address - Phone:732-780-1333
Mailing Address - Fax:732-780-2346
Practice Address - Street 1:1050 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2509
Practice Address - Country:US
Practice Address - Phone:732-780-1333
Practice Address - Fax:732-780-2346
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02592800207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0774600Medicaid
NJSA107972Medicare ID - Type Unspecified
NJ0774600Medicaid