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Individual

DR. JAY W. SIEGFRIED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 E LANCASTER AVE, LANKENAU HOSPITAL - PMR DEPT., WYNNEWOOD, PA 19096-3450
(610) 645-2983
(610) 645-8005
Mailing address
PO BOX 348, BENSALEM, PA 19020-0348
(215) 369-2742
(215) 369-2742

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD038380L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0008313880002
PA
01
0060105000
KEYSTONE HEALTH PLAN EAST
PA
01
0576625003
CIGNA
PA
01
1032967
KEYSTONE MERCY HEALTH
PA
01
183201
BLUE SHIELD
PA
01
250012283
RR MEDICARE
PA
01
2512757
AETNA
PA
01
421871
UNITED HEALTHCARE
PA
Enumeration date
01/24/2007
Last updated
10/25/2016
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