Organization
JACK SIEGEL, M.D., INC.
Active
Organization
JACK SIEGEL, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK SIEGEL M.D. (PRESIDENT)
(408) 358-3458
Entity
Organization
Contact information
Practice address
2585 SAMARITAN DR STE 303, SAN JOSE, CA 95124-4107
(408) 358-3458
(408) 356-6191
Mailing address
2585 SAMARITAN DR STE 303, SAN JOSE, CA 95124-4107
(408) 358-3458
(408) 356-6191
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
G317620
CA
Other
Enumeration date
04/14/2010
Last updated
04/14/2010
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