Basic Information
| Provider Information | |||||||||
| NPI: | 1598861791 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SIEFRING | ||||||||
| FirstName: | ROBERT | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3 COOPER PLZ | ||||||||
| Address2: | SUITE 502 | ||||||||
| City: | CAMDEN | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 081031438 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8569636888 | ||||||||
| FaxNumber: | 8569688499 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 BURLINGTON MOUNT HOLLY RD STE D | ||||||||
| Address2: | BURLINGTON PROFESSIONAL CAMPUS (RTE 541) | ||||||||
| City: | BURLINGTON | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 080164722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6098355570 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 10/01/2015 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | MA40773 | NJ | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 010004093 | 01 | NJ | AMERICHOICE | OTHER | 1158552 | 01 | NJ | HORIZON NJ HEALTH | OTHER | 3260003 | 05 | NJ | MEDICAID | 0990094 | 01 | NJ | CIGNA | OTHER | 160055329 | 01 | NJ | RR MEDICARE | OTHER | 2662705 | 01 | NJ | AETNA | OTHER | 2662748 | 01 | NJ | AETNA | OTHER | 2662705 | 01 | NJ | PA BS HIGHMARK | OTHER | 000471348 | 01 | NJ | AMERIHEALTH PPO/PA BS | OTHER | 3K6163 | 01 | NJ | HALTHNET | OTHER | 0107850000 | 01 | NJ | AMERIHEALTH/KEYSTON/IBC | OTHER | 431905 | 01 | NJ | UNITED HEALTHCARE | OTHER | P379131 | 01 | NJ | OXFORD | OTHER | 32440 | 01 | NJ | UNIVERSITY HEALTH PLAN | OTHER |