Provider Demographics
NPI:1881694974
Name:SEGAL, WILLIAM N (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:N
Last Name:SEGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:731 ALEXANDER RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6345
Mailing Address - Country:US
Mailing Address - Phone:609-924-1422
Mailing Address - Fax:609-924-7473
Practice Address - Street 1:731 ALEXANDER RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6345
Practice Address - Country:US
Practice Address - Phone:609-924-1422
Practice Address - Fax:609-924-7473
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2019-12-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA06364000207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0821011000OtherKEYSTONE
P399224OtherOXFORD
000795866OtherPERSONAL CHOICE
100010067OtherRAILROAD MEDICARE
1492643004OtherCIGNA
00795866OtherINDEPENDENCE BLUE CROSS
000865670OtherAMERIHEALTH PERS. CHOICE
NJ7517106Medicaid
0981974000OtherAMERIHEALTH HMO
1492643004OtherCIGNA
NJ7517106Medicaid