Individual
STACEY SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8 WOODHILL RD, TENAFLY, NJ 07670-2220
(201) 741-0998
Mailing address
8 WOODHILL RD, TENAFLY, NJ 07670-2220
(201) 741-0998
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MA63979
NJ
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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