Individual
DAVID SIEGENBERG
Active
Individual
DAVID SIEGENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
74850
MA
207RG0100X
Gastroenterology Physician
74850
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100010853
RAILROAD MEDICARE
MA
Enumeration date
06/05/2006
Last updated
09/15/2011
Update your record
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