Provider Demographics
NPI:1366643702
Name:SIEGRIST AND WOOD ASSOCIATES
Entity Type:Organization
Organization Name:SIEGRIST AND WOOD ASSOCIATES
Other - Org Name:JUST FOR YOU CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGRIST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-887-5930
Mailing Address - Street 1:37 MOUNT PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-2616
Mailing Address - Country:US
Mailing Address - Phone:973-887-5930
Mailing Address - Fax:
Practice Address - Street 1:37 MOUNT PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-2616
Practice Address - Country:US
Practice Address - Phone:973-887-5930
Practice Address - Fax:973-887-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-31
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8115109Medicaid