Individual
WAYNE D SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 ROUTE 3 STE 204, SECAUCUS, NJ 07094-3857
(201) 866-2400
(201) 866-0444
Mailing address
255 ROUTE 3 EAST, SUITE 210, SECAUCUS, NJ 07094
(201) 866-2400
(201) 866-0444
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MA50168
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5036801
—
NJ
Enumeration date
10/04/2005
Last updated
03/22/2024
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