Individual
NEIL M SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 S PACA ST, BALTIMORE, MD 21201-1771
(667) 214-1800
(410) 365-1973
Mailing address
PO BOX 64888, BALTIMORE, MD 21264-4888
(800) 889-4939
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D43574
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
206151100
—
MD
05
—
482300100
—
MD
Enumeration date
07/10/2006
Last updated
05/28/2021
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