Individual
DR. JEROME DENNIS SEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
20 POND RD, WEST TISBURY, MA 02575
(508) 696-6461
(508) 696-6461
Mailing address
PO BOX 3000/ PMB 3003, WEST TISBURY, MA 02575
(508) 696-6461
(508) 696-6461
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360821
—
MA
Enumeration date
10/13/2005
Last updated
10/23/2009
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