Individual
DR. CAROLYN LIANE SIEGAL
Active
Individual
DR. CAROLYN LIANE SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
2308
MA
213ES0131X
Foot Surgery Podiatrist
E4248
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0729507
—
MA
01
—
2308
MA MEDICAL LICENSE #
MA
01
—
E4248
CA LICENSE #
CA
Enumeration date
12/04/2006
Last updated
03/19/2021
Update your record
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