Mrs Shani Siegfried, NP | |
1352 River Ave, Lakewood, NJ 08701-5646 | |
(732) 644-4271 | |
Not Available |
Full Name | Mrs Shani Siegfried |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1352 River Ave, Lakewood, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457134272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 26NJ14899600 (New Jersey) | Primary |
Entity Name | Hudson Md Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497301998 PECOS PAC ID: 6103240478 Enrollment ID: O20200720001687 |
Mailing Address | Practice Location Address |
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Mrs Shani Siegfried, NP 228 Lincoln St, Lakewood, NJ 08701-4842 Ph: (732) 644-4271 | Mrs Shani Siegfried, NP 1352 River Ave, Lakewood, NJ 08701-5646 Ph: (732) 644-4271 |
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