Individual
DR. IRA B SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SCD
Contact information
Practice address
1 FRICK DR, DEMAREST, NJ 07627-1326
(845) 406-1347
(973) 506-1954
Mailing address
PO BOX 352, CLOSTER, NJ 07624-0352
(845) 406-1347
(973) 506-1954
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA05456400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5067707
—
NJ
Enumeration date
03/09/2006
Last updated
09/25/2015
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