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Contact Information

ELIEZER M SEGUERRA JR, MD
111 CENTRAL AVE
ST. MICHAEL'S MEDICAL CENTER
NEWARK, NJ07102-1909
 Phone: 973-877-5413
 Fax: 973-877-2712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ELIEZER M SEGUERRA JR · (Male)

NPI # 1316162621
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2007
Last updated 09/19/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08227400
  • NY License # 240383-1
  • NJ Medicaid 0143367
Hospital affiliation(s)
  • SAINT CLARE'S HOSPITAL - (Acute Care)
    25 POCONO ROAD
    DENVILLE, NJ 07834
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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