Individual
STEPHEN M SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MAIN ST, SUITE 205, REISTERSTOWN, MD 21136-2515
(410) 526-3043
Mailing address
515 FAIRMOUNT AVE, STE 400, TOWSON, MD 21286-5466
(410) 494-1324
(410) 494-1361
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D28304
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342761700
—
MD
Enumeration date
06/08/2006
Last updated
04/18/2016
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