Individual
ILIA SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2333 MORRIS AVENUE, SUITE A1, UNION, NJ 07083-5746
(908) 964-1964
(908) 964-6286
Mailing address
2333 MORRIS AVENUE, SUITE A1, UNION, NJ 07083-5746
(908) 964-1964
(908) 964-6286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03979600
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA03979600
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MA39796
NJ
207RP1001X
Pulmonary Disease Physician
Primary
MA39796
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1147901
—
NJ
Enumeration date
09/27/2006
Last updated
04/09/2024
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