Siegel, Lydia C

Siegel, Lydia C is an individual health care provider with primary practice located at 301 South Huntington Avenue , Jamaica Plain MA 02130. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Siegel, Lydia C can be contacted via phone (857) 307-3300.

Contact Information

Primary practice address
301 South Huntington Avenue Jamaica Plain MA 02130
Phone: (857) 307-3300
Fax: (857) 307-3305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 226444 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 226444 Massachusetts

Profile Details

NPI number 1003892001
LBN Legal business name Siegel, Lydia C
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Jul 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003892001 NPPES
Massachusetts MEDICAID 2119064

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