Individual
MICHAEL BART SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15204 OMEGA DR STE 310, ROCKVILLE, MD 20850-4816
(240) 361-9000
(240) 361-9001
Mailing address
15204 OMEGA DR STE 310, ROCKVILLE, MD 20850-4816
(240) 361-9000
(240) 361-9001
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D0041437
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4271330
AETNA
MD
01
—
496957
NCPPO
MD
01
—
8789
BCBS OF MD
MD
01
—
B0480001
BCBS OF DC
DC
01
—
MAMSI
228407
MD
Enumeration date
04/10/2006
Last updated
05/05/2021
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