Individual
DR. CHARLES J SIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
50 PARK ST APT 35, BROOKLINE, MA 02446-6200
(617) 935-3532
Mailing address
PSC 482 BOX 2608, FPO, AP 96362-2699
(903) 257-1200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101248125
VA
Other
Enumeration date
05/05/2008
Last updated
10/20/2011
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