Individual
STEVEN MARC SIEGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
250 RIVER RD, MANCHESTER, NH 03104
(603) 668-2020
Mailing address
250 RIVER RD, MANCHESTER, NH 03104
(603) 668-2020
(603) 668-0881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
445
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0900124Y0NHO1
ANTHEM
NH
01
—
16437
CIGNA
—
05
—
30351195
—
NH
01
—
T59402
HARVARD
—
Enumeration date
02/23/2006
Last updated
06/26/2012
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