Siemons, Gary Otto
Siemons, Gary Otto is an individual health care provider with primary practice located at 502 Centennial Blvd Suite 5, Voorhees NJ 08043. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Siemons, Gary Otto can be contacted via phone (856) 429-8030.Contact Information
Primary practice address
502 Centennial Blvd Suite 5
Voorhees NJ 08043
Phone: (856) 429-8030
Fax: (856) 428-2718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25MA04074600 | New Jersey |
Profile Details
| NPI number | 1427059930 |
|---|---|
| LBN Legal business name | Siemons, Gary Otto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Jul 25th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427059930 | NPPES |
| New Jersey | MEDICAID | 1655507 |
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