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Individual

DR. WILLIAM B NEUSIDL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 COVENTRY DR, PHILLIPSBURG, NJ 08865-1973
(908) 859-6055
(908) 859-2042
Mailing address
800 COVENTRY DR, PHILLIPSBURG, NJ 08865-1973
(908) 859-6055
(908) 859-2042

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05614400
NJ
207W00000X
Ophthalmology Physician
MD033871E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01000186100
AMERICHOICE
01
1174936-005
CIGNA
01
180023101
RAILROAD MEDICARE
NJ
01
38675
AETNA US HEALTHCARE
05
6647103
NJ
01
OXFORD
QS026
Enumeration date
06/13/2006
Last updated
06/03/2015
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