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NPI Code Detail

MEDICARE: DR. ERIC SEGALL D.M.D

MEDICARE: DR. ERIC SEGALL D.M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry22554NJ

General Provider Information

NPI Number : 1265646418
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIC SEGALL D.M.D
Provider Business Mailing Address
First Line : 186 W VETERANS HWY
Second Line :
City : JACKSON
State : NJ
Zip : 08527-3410
Country : US
Telephone Number : 732-942-8400
Fax Number : 732-942-6505
Provider Business Practice Location Address
First Line : 186 W VETERANS HWY
Second Line :
City : JACKSON
State : NJ
Zip : 08527-3410
Country : US
Telephone Number : 732-942-8400
Fax Number : 732-942-6505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2007
Last Update Date : 08/02/2023

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Directions to “ DR. ERIC SEGALL D.M.D” Practice Location

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