Individual
ANDREW L SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
255 W. SPRING VALLEY AVE, SUITE 101, MAYWOOD, NJ 07607
(201) 342-6600
(201) 342-4222
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
25MA05125900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1966707
—
NJ
01
—
D04853100
CDS
NJ
Enumeration date
02/08/2006
Last updated
03/07/2023
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