Individual
ROBERT SELIG EAGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
405 NORTHFIELD AVE, STE. LL3, WEST ORANGE, NJ 07052-3026
(973) 731-7961
(973) 731-9855
Mailing address
85 S JEFFERSON ST, STE. 1, ORANGE, NJ 07050-1562
(973) 677-3466
(973) 677-2362
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA04064300
NJ
207RG0100X
Gastroenterology Physician
Primary
25MA04064300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537608
—
NJ
01
—
1K9725
HEALTHNET
NJ
01
—
854261
AMERIHEALTH
—
01
—
RE011D1610
EMPIRE BCBS
NY
Enumeration date
07/28/2006
Last updated
04/11/2024
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