Provider Demographics
NPI:1578571246
Name:SIEGEL, PAUL W (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:W
Last Name:SIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:700 ATTUCKS LN
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:HYANNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02601-1809
Mailing Address - Country:US
Mailing Address - Phone:508-775-8001
Mailing Address - Fax:508-775-1663
Practice Address - Street 1:700 ATTUCKS LN
Practice Address - Street 2:SUITE 1B
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601-1809
Practice Address - Country:US
Practice Address - Phone:508-775-8001
Practice Address - Fax:508-775-1663
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2008-03-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA47532207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAL15134Medicare UPIN