Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 125726 | OH |
NPI | 1467751255 |
---|---|
Provider Name | Dr. Thalia R Segal |
First Address | Closter, NJ 07624-2431 |
Second Address | Closter, NJ 07624-2431 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2011 |
Last Update Date | 01/06/2017 |