Individual
DR. EUGENE HERBERT SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6410A RISING SUN AVE, PHILA, PA 19111-5229
(215) 342-6777
(215) 722-1259
Mailing address
PO BOX 820933, PHILA, PA 19182-0933
(215) 342-6777
(215) 722-1259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002616L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101744459
—
PA
01
—
597586
MEDICARE GROUP
PA
Enumeration date
01/20/2006
Last updated
10/21/2013
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