Individual
MARY THERESA SIEGFRIED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(267) 610-1948
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
SP031121
PA
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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