Active NPIIndividual providerSole proprietor

Dr. Eliezer M Seguerra Jr., MD

Pathology, Anatomic Pathology & Clinical Pathology in Newark, New Jersey

NPI Number1316162621
Practice location
111 Central Ave, St. Michael'S Medical Center, Newark, NJ 07102-1909
Fax
973-877-2712
Last updated
September 19, 2012

Eliezer Montero Seguerra is a Pathology, Anatomic Pathology & Clinical Pathology based in Newark, NJ. Eliezer Montero Seguerra practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Eliezer Montero Seguerra is 1316162621 and holds a License No. 25MA08227400 (NJ). The current practice location address for Eliezer Montero Seguerra is 111 Central Ave, St. Michael'S Medical Center, Newark, NJ 07102-1909 and can be reached out via phone at 973-877-5413 and via fax at 973-877-2712.

Provider Profile Details

NPI Number
1316162621
Provider Name
Eliezer Montero Seguerra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 Central Ave, St. Michael'S Medical Center, Newark, NJ 07102-1909
Phone Number
973-877-5413
Fax Number
973-877-2712
Sole Proprietor
Yes
Provider Enumeration Date
April 13, 2007
Last Update Date
September 19, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
111 Central Ave
St. Michael'S Medical Center
Newark, NJ 07102-1909
City
Newark
Zip
07102-1909
Phone Number
973-877-5413
Fax Number
973-877-2712
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
513 New Brunswick RD
Somerset, NJ 08873-1660
City
Somerset
State
NJ
Zip
08873-1660
Phone Number
516-754-6210
Fax Number
973-877-2712

License Information

License Number (1)
25MA08227400
License State (1)
NJ
Taxonomy (1)
Pathology, Anatomic Pathology & Clinical Pathology · 207ZP0102X · Primary
License Number (2)
240383-1
License State (2)
NY

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Eliezer M Seguerra Jr., MD?

The NPI number of Dr. Eliezer M Seguerra Jr., MD is 1316162621. It was assigned on April 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Eliezer M Seguerra Jr., MD?

Dr. Eliezer M Seguerra Jr., MD is registered under the primary taxonomy Pathology, Anatomic Pathology & Clinical Pathology (code 207ZP0102X), licensed in NJ under license number 25MA08227400.

Where does Dr. Eliezer M Seguerra Jr., MD practice?

The practice location is 111 Central Ave, St. Michael'S Medical Center, Newark, NJ 07102-1909. The office can be reached at 973-877-5413 (phone) or 973-877-2712 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316162621 directly on the NPPES registry website.

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