Individual
JEFFREY LOREN SEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 E NORTHFIELD RD, FL 3, LIVINGSTON, NJ 07039-4896
(973) 322-9998
Mailing address
150 FLORAL AVE, NEW PROVIDENCE, NJ 07974-1557
(908) 588-3890
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
25MA06957000
NJ
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
25MA06957000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
562480070
—
NJ
Enumeration date
03/14/2006
Last updated
12/08/2016
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