Provider Demographics
NPI:1801005673
Name:SIGAL, ALICIA COEN (MD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:COEN
Last Name:SIGAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 GREEN RD
Mailing Address - Street 2:
Mailing Address - City:MERIDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06450-6612
Mailing Address - Country:US
Mailing Address - Phone:203-630-2245
Mailing Address - Fax:203-630-2909
Practice Address - Street 1:140 GREEN RD
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6612
Practice Address - Country:US
Practice Address - Phone:203-630-2245
Practice Address - Fax:203-630-2909
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2009-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT046221207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology