MEDICARE: DR. ARTHUR DAVID SIEGEL 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
1	207RA0000X	Adolescent Medicine (Internal Medicine) Physician	MA55619	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00822595	OTHER	NJ	RR MEDICARE - ABINGTON

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912121534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ARTHUR DAVID SIEGEL M.D.

Provider Business Mailing Address
First Line	:	6 GARY CT
Second Line	:
City	:	SCOTCH PLAINS
State	:	NJ
Zip	:	07076-2007
Country	:	US
Telephone Number	:	908-654-1827
Fax Number	:

Provider Business Practice Location Address
First Line	:	195 1ST AVE W
Second Line	:
City	:	NEWARK
State	:	NJ
Zip	:	07107-2618
Country	:	US
Telephone Number	:	973-483-5551
Fax Number	:	973-484-0331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2007
Last Update Date	:	06/14/2010

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