Individual
DR. FERNANDO SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
(201) 941-2899
Mailing address
103 RIVER RD, EDGEWATER, NJ 07020-1010
(201) 941-8100
(201) 941-2899
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MA05963600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074887000
AMERIHEALTH GROUP #
NJ
01
—
0K6795
HEALTHNET ID #
NJ
05
—
1395880
—
NY
01
—
13X871
EMPIRE BC/BS OF NY ID #
NJ
01
—
4397773
AETNA PPO ID #
NJ
01
—
579098
AETNA HMO ID #
NJ
01
—
6004266
GHI PPO ID #
NJ
05
—
6389805
—
NJ
01
—
BS451
OXFORD ID #
NJ
Enumeration date
06/14/2005
Last updated
04/15/2008
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