Organization
JOEL SIEGEL, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL SIEGEL M.D. (PHYSICIAN)
(724) 225-1505
Entity
Organization
Contact information
Practice address
150 W BEAU ST, SUITE 308, WASHINGTON, PA 15301-4425
(724) 225-1505
(724) 225-5810
Mailing address
101 E REDLANDS BLVD, SUITE 212, REDLANDS, CA 92373-4775
(909) 335-8649
(909) 557-1924
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
MD024578E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
432253
BCBS PROVIDER NUMBER
PA
Enumeration date
09/18/2007
Last updated
04/20/2008
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