Provider Demographics
NPI:1649260720
Name:SEIGEL, CHARLES J (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:SEIGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 MOUNTAIN VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PETERBOROUGH
Mailing Address - State:NH
Mailing Address - Zip Code:03458-1325
Mailing Address - Country:US
Mailing Address - Phone:603-924-6447
Mailing Address - Fax:
Practice Address - Street 1:454 OLD STREET RD
Practice Address - Street 2:SUITE 302
Practice Address - City:PETERBOROUGH
Practice Address - State:NH
Practice Address - Zip Code:03458-1200
Practice Address - Country:US
Practice Address - Phone:603-924-9444
Practice Address - Fax:603-924-8709
Is Sole Proprietor?:No
Enumeration Date:2005-10-28
Last Update Date:2012-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4992207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0105615Y0NH01OtherBLUE CROSS BLUE SHIELD
NH8432351OtherCIGNA
NHNH0007353OtherCHAMPUS
NHB57966OtherHARVARD
NH0740462OtherUNITED HEALTH CARE
NH80009818Medicaid
NH2072142OtherAETNA
NH783025OtherMVP
NH9818Medicare PIN
NH80009818Medicaid