Individual
ROGER C SIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
283 S BUTLER ROAD, MT GRETNA, PA 17064-0550
(800) 932-0359
Mailing address
283 S BUTLER ROAD, MT GRETNA, PA 17064-0550
(800) 932-0359
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD-069099-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017785800001
—
PA
Enumeration date
10/17/2006
Last updated
07/08/2007
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