Provider Demographics
NPI:1477879591
Name:SIGMUND L. SATTENSPIEL, M.D., P.A.
Entity Type:Organization
Organization Name:SIGMUND L. SATTENSPIEL, M.D., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SIGMUND
Authorized Official - Middle Name:L
Authorized Official - Last Name:SATTENSPIEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-780-1333
Mailing Address - Street 1:1050 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2509
Mailing Address - Country:US
Mailing Address - Phone:732-780-1333
Mailing Address - Fax:
Practice Address - Street 1:1050 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2509
Practice Address - Country:US
Practice Address - Phone:732-780-1333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-14
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02592800207YX0905X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0774600Medicaid
NJ0774600Medicaid
NJSA107972Medicare PIN