Individual
JONATHAN SIEGFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
46 PRINCE ST STE 500, NEW HAVEN, CT 06519-1600
(203) 867-5300
Mailing address
46 PRINCE ST STE 310, NEW HAVEN, CT 06519-1600
(203) 867-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254548
NY
207RC0000X
Cardiovascular Disease Physician
Primary
54031
CT
207RI0011X
Interventional Cardiology Physician
54031
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54031
CT LIC
CT
Enumeration date
04/12/2008
Last updated
09/30/2020
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