Eagle, Robert Selig

Eagle, Robert Selig is an individual health care provider with primary practice located at 405 Northfield Ave Ste. Ll3, West Orange NJ 07052-3026. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Eagle, Robert Selig can be contacted via phone (973) 731-7961.

Contact Information

Primary practice address
405 Northfield Ave Ste. Ll3 West Orange NJ 07052-3026
Phone: (973) 731-7961
Fax: (973) 731-9855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA04064300 New Jersey
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 25MA04064300 New Jersey

Profile Details

NPI number 1922012335
LBN Legal business name Eagle, Robert Selig
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Apr 11th, 2024 - about 5 months 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 1922012335 NPPES
New Jersey MEDICAID 0537608
New Jersey Other RE011D1610
New Jersey Other 1K9725
New Jersey Other 854261

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