Individual
DR. TIMOTHY R SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101257693
VA
208600000X
Surgery Physician
15327
NH
208600000X
Surgery Physician
Primary
33592
NH
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
0101257693
VA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
15327
NH
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
MD183891
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002323701
MEDICARE PTAN
NH
05
—
01929280
—
NY
05
—
1019444
—
VT
05
—
3073841
—
NH
05
—
32000782
—
NH
01
—
AA224057
HARVARD PILGRIM
NH
Enumeration date
04/14/2006
Last updated
10/02/2024
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