Provider Demographics
NPI:1245392638
Name:SIEGELMANN-DANIELI, NAVA (MD)
Entity type:Individual
Prefix:
First Name:NAVA
Middle Name:
Last Name:SIEGELMANN-DANIELI
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 1:8 DREZNER STREET
Mailing Address - Street 2:APARTMENT #30
Mailing Address - City:TEL-AVIV
Mailing Address - State:RAMAT AVIV GIMEL
Mailing Address - Zip Code:69497
Mailing Address - Country:IL
Mailing Address - Phone:9723-744-2021
Mailing Address - Fax:9723-744-2021
Practice Address - Street 1:100 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:PA
Practice Address - Zip Code:16346-2130
Practice Address - Country:US
Practice Address - Phone:814-676-7900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD052288L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAH76569Medicare UPIN