Provider Demographics
NPI:1215938774
Name:SIGAL, MICHAEL B (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:B
Last Name:SIGAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2853 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:NATRONA HEIGHTS
Mailing Address - State:PA
Mailing Address - Zip Code:15065-1905
Mailing Address - Country:US
Mailing Address - Phone:724-224-4240
Mailing Address - Fax:724-224-3197
Practice Address - Street 1:2853 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:NATRONA HEIGHTS
Practice Address - State:PA
Practice Address - Zip Code:15065-1905
Practice Address - Country:US
Practice Address - Phone:724-224-4240
Practice Address - Fax:724-224-3197
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD 037673E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01132550Medicaid
PAS1193837Medicare ID - Type Unspecified
PA01132550Medicaid