Individual
DR. CAROLYN LIANE SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062
(781) 278-5635
(781) 440-7585
Mailing address
1177 PROVIDENCE HIGHWAY, NORWOOD, MA 02062
(781) 278-5635
(781) 440-7585
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
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