Individual
CHARLES GRAHAM SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3401 N BROAD ST, PHILADELPHIA, PA 19140-5103
(800) 836-7536
Mailing address
3509 NORTH BROAD STREET, BOYER SUITE 226, PHILADELPHIA, PA 19140-4105
(215) 707-9837
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT231114
PA
Other
Enumeration date
05/21/2024
Last updated
06/19/2024
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