NPI 1497861587 · live from the CMS NPI Registry
Judson Lewis Siegel, DPM
Podiatrist in Marlborough, MA. National Provider Identifier 1497861587, active.
NPI record
| NPI | 1497861587 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 340 Maple St, Ste 405, Marlborough, MA 01752 |
| Practice phone | 508-481-3659 |
| Mailing address | 15 Matthew Road, Cumberland, RI 02864 |
| Enumerated | August 22, 2006 |
| Last updated | November 15, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 2090 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.