Siegel, Mark
Siegel, Mark is an individual health care provider with primary practice located at 789 Howard Ave Fitkin Building, 2Nd Floor, New Haven CT 06519-1304. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Siegel, Mark can be contacted via phone (203) 785-4198.Contact Information
Primary practice address
789 Howard Ave Fitkin Building, 2Nd Floor
New Haven CT 06519-1304
Phone: (203) 785-4198
Fax: (203) 737-5453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 033081 | Connecticut |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 033081 | Connecticut |
Profile Details
| NPI number | 1700861598 |
|---|---|
| LBN Legal business name | Siegel, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Apr 5th, 2011 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700861598 | NPPES |
| Connecticut | MEDICAID | 001330810 |
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