Siegel, Eric Scott

Siegel, Eric Scott is an sole proprietor health care provider with primary practice located at 12 East Willow Street , Millburn NJ 07041-1417. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Siegel, Eric Scott can be contacted via phone (973) 376-8500.

Contact Information

Primary practice address
12 East Willow Street Millburn NJ 07041-1417
Fax: (973) 376-1820
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MA68842 New Jersey
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 25MA06884200 New Jersey

Profile Details

NPI number 1275578262
LBN Legal business name Siegel, Eric Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 17th, 2006
Last updated Aug 25th, 2010 - about 14 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 1275578262 NPPES
New Jersey Other 2299713 AETNA GROUP ID
New Jersey Other 223694845 AETNA GROUP ID

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