Individual
DR. BERNARD SHEPARD SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 OX BOW LANE, WOODBRIDGE, CT 06525-1525
(203) 387-6633
(203) 387-7996
Mailing address
61 OX BOW LANE, WOODBRIDGE, CT 06525-1525
(203) 387-6633
(203) 387-7996
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
009175
CT
208600000X
Surgery Physician
009175
CT
Other
Enumeration date
04/09/2010
Last updated
03/07/2023
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