Individual
NATHAN A SIEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
593 EDDY ST, PROVIDENCE, RI 02903-4923
(401) 519-1604
(401) 272-0538
Mailing address
PO BOX 9484, PROVIDENCE, RI 02940-9484
(401) 854-2500
(401) 854-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12096
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04/15/2009
UNITED HEALTHCARE
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1962445536
NPI
RI
05
—
2121034
—
MA
01
—
413313
BLUECHIP
RI
05
—
7058670
—
RI
01
—
9/26/2006
NHPRI
RI
01
—
939025129
RI MEDICARE GROUP NUMBER
RI
01
—
P00325140
RAILROAD MEDICARE
—
Enumeration date
06/13/2006
Last updated
02/16/2010
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