Individual
DR. BRIAN K SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(732) 235-7766
Mailing address
120 CROSS RD, BASKING RIDGE, NJ 07920-1502
(908) 766-2057
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA07508600
NJ
2086S0102X
Surgical Critical Care Physician
Primary
25MA07508600
NJ
2086S0127X
Trauma Surgery Physician
25MA07508600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0044202
—
NJ
Enumeration date
08/15/2005
Last updated
06/24/2021
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