Individual
WILLIAM C SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 LIBERTY STREET, BROCKTON, MA 02301
(508) 894-0400
(508) 941-0332
Mailing address
680 CENTRE ST, BROCKTON, MA 02302-3308
(508) 894-0400
(508) 894-0459
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
50750
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073556
—
MA
Enumeration date
11/11/2005
Last updated
02/16/2021
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