Individual
M. BARRY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1220 SOM CENTER RD, # D, MAYFIELD HTS, OH 44124-2002
(440) 710-1145
Mailing address
1220 SOM CENTER RD, # D, MAYFIELD HTS, OH 44124-2002
(440) 720-0790
(440) 720-0786
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35029393S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0486522
—
OH
Enumeration date
09/22/2006
Last updated
03/10/2019
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