Individual
DR. JEROME SEYMOUR SIEGEL
Active
Individual
DR. JEROME SEYMOUR SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000004189
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110092173
RAILROD MEDICARE
TN
01
—
4159151
BLUE CROSS OF TENNESSEE
TN
01
—
62-1792869
TAX IDENTIFICATION #
TN
01
—
P00465587
RR MEDICARE
TN
Enumeration date
05/06/2006
Last updated
09/27/2016
Update your record
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