Individual
FREDERICK SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1950 OLD GALLOWS RD, #100, VIENNA, VA 22182
(703) 847-8899
(703) 847-5177
Mailing address
901 N. STUART ST, #210, ARLINGTON, VA 22203
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000185
VA
Other
Enumeration date
06/13/2006
Last updated
07/08/2007
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