Individual
GLENN MICHAEL SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
761 MAIN AVE, SUITE 201, NORWALK, CT 06851-1080
(203) 838-4000
(203) 845-9535
Mailing address
761 MAIN AVE, SUITE 201, NORWALK, CT 06851-1080
(203) 838-4000
(203) 845-9535
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
044239
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004187466
—
CT
Enumeration date
10/28/2005
Last updated
03/29/2011
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