Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 25MA02592800 | NJ |
NPI | 1730177676 |
---|---|
Provider Name | Sigmund L. Sattenspiel |
First Address | Freehold, NJ 07728-2509 |
Second Address | Freehold, NJ 07728-2509 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0774600 | (05) | NJ |
C-53300 | (02) | NJ |