# JEFFREY E SIEGAL M D P A

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

## Provider details

- **NPI number:** 1629253885
- **Authorized official:** DR. JEFFREY EDWARD SIEGAL M.D. (OWNER-PHYSICIAN)
- **Authorized official phone:** (561) 495-8558

## Contact information

- **Practice address:** 15340 JOG RD, SUITE 210, DELRAY BEACH, FL 33446-2170
- **Practice address phone:** (561) 495-8558
- **Practice address fax:** (561) 495-8557
- **Mailing address:** 15340 JOG RD, SUITE 210, DELRAY BEACH, FL 33446-2170
- **Mailing address phone:** (561) 495-8558
- **Mailing address fax:** (561) 495-8557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME 53104 | FL | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 04/18/2008