Dr. Lydia C Siegel, MD, MPH
Internal Medicine in Jamaica Plain, MA. Individual provider (NPI-1).
NPI number1003892001
StatusActive
Last updated in NPPESJul 12, 2012
Details
- NPI
- 1003892001
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lydia C Siegel
- Credential
- MD, MPH
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 21, 2005
- Last updated
- Jul 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 226444 | MA | Yes |
| 207P00000X | Emergency Medicine | 226444 | MA |
Practice location
301 South Huntington AvenueJamaica Plain, MA 02130
Phone 857-307-3300 · Fax 857-307-3305
Mailing address
111 Cypress StreetBoston, MA 02445
Phone 857-307-3300 · Fax 857-307-3305
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