Provider Demographics
NPI:1750185641
Name:SEIGEL, AMANDA (MAT, CAS)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:SEIGEL
Suffix:
Gender:F
Credentials:MAT, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 SEDGWICK RD
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08690-1916
Mailing Address - Country:US
Mailing Address - Phone:201-772-6422
Mailing Address - Fax:
Practice Address - Street 1:9 SEDGWICK RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08690-1916
Practice Address - Country:US
Practice Address - Phone:201-772-6422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAS21443180172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker