Individual
ETHAN REED SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-8420
(215) 503-0429
Mailing address
833 CHESTNUT ST STE 210, PHILADELPHIA, PA 19107-4405
(215) 955-5638
(215) 503-6116
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
M
PA
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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