Provider Demographics
NPI:1053596817
Name:SIEGEL, ROY F (DC)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:F
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:26 MAIN ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1460
Mailing Address - Country:US
Mailing Address - Phone:908-751-9771
Mailing Address - Fax:908-751-9771
Practice Address - Street 1:26 MAIN ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-1460
Practice Address - Country:US
Practice Address - Phone:908-751-9771
Practice Address - Fax:908-751-9771
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00347000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ599791Medicare PIN