# SIEGEL AND BOSWORTH EAR, NOSE, AND THROAT CENTER, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629036355
- **Authorized official:** DR. MICHAEL SIEGEL M.D. (OWNER)
- **Authorized official phone:** (240) 361-9000

## Contact information

- **Practice address:** 15235 SHADY GROVE RD, SUITE 100, ROCKVILLE, MD 20850-3234
- **Practice address phone:** (240) 361-9000
- **Practice address fax:** (240) 361-9001
- **Mailing address:** 15235 SHADY GROVE RD, SUITE 100, ROCKVILLE, MD 20850-3234
- **Mailing address phone:** (240) 361-9000
- **Mailing address fax:** (240) 361-9001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | D0041437 | MD | Yes |

## Other

- **Enumeration date:** 05/03/2006
- **Last updated:** 10/18/2007