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Individual

DR. JUDSON LEWIS SIEGEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
340 MAPLE ST, STE 405, MARLBOROUGH, MA 01752
(508) 481-3659
(508) 460-9728
Mailing address
15 MATTHEW ROAD, CUMBERLAND, RI 02864
(401) 475-3531
(508) 460-9728

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2090
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0316610
MA
Enumeration date
08/22/2006
Last updated
11/15/2012
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