Provider Demographics
NPI:1598861791
Name:SIEFRING, ROBERT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:
Last Name:SIEFRING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-963-6888
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1900 BURLINGTON MOUNT HOLLY RD STE D
Practice Address - Street 2:BURLINGTON PROFESSIONAL CAMPUS (RTE 541)
Practice Address - City:BURLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08016-4722
Practice Address - Country:US
Practice Address - Phone:609-835-5570
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2015-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA40773207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ010004093OtherAMERICHOICE
NJ1158552OtherHORIZON NJ HEALTH
NJ3260003Medicaid
NJ0990094OtherCIGNA
NJ160055329OtherRR MEDICARE
NJ2662705OtherAETNA
NJ2662748OtherAETNA
NJ2662705OtherPA BS HIGHMARK
NJ000471348OtherAMERIHEALTH PPO/PA BS
NJ3K6163OtherHALTHNET
NJ0107850000OtherAMERIHEALTH/KEYSTON/IBC
NJ431905OtherUNITED HEALTHCARE
NJP379131OtherOXFORD
NJ32440OtherUNIVERSITY HEALTH PLAN
NJ32440OtherUNIVERSITY HEALTH PLAN
NJ3260003Medicaid