Provider Demographics
NPI:1912121534
Name:SIEGEL, ARTHUR DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:DAVID
Last Name:SIEGEL
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 1:6 GARY CT
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2007
Mailing Address - Country:US
Mailing Address - Phone:908-654-1827
Mailing Address - Fax:
Practice Address - Street 1:195 1ST AVE W
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07107-2618
Practice Address - Country:US
Practice Address - Phone:973-483-5551
Practice Address - Fax:973-484-0331
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA55619207RA0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0000XAllopathic & Osteopathic PhysiciansInternal MedicineAdolescent Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5368707Medicaid
NJP00822595OtherRR MEDICARE - ABINGTON
NJ713025UWWMedicare PIN