Individual
DR. ELIEZER MONTERO SEGUERRA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 CENTRAL AVE, ST. MICHAEL'S MEDICAL CENTER, NEWARK, NJ 07102-1909
(973) 877-5413
(973) 877-2712
Mailing address
513 NEW BRUNSWICK RD, SOMERSET, NJ 08873-1660
(516) 754-6210
(973) 877-2712
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
240383-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA08227400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0143367
—
NJ
Enumeration date
04/13/2007
Last updated
09/19/2012
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