Provider Demographics
NPI:1366540080
Name:SEIGEL, MARK S (MD)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:SEIGEL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:19785 CRYSTAL ROCK DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-4700
Mailing Address - Country:US
Mailing Address - Phone:301-528-8444
Mailing Address - Fax:240-331-9176
Practice Address - Street 1:19785 CRYSTAL ROCK DR
Practice Address - Street 2:SUITE 208
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-4700
Practice Address - Country:US
Practice Address - Phone:301-528-8444
Practice Address - Fax:240-331-9176
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-09-24
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Provider Licenses
StateLicense IDTaxonomies
MDD26246207V00000X
MDD0026246207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C62752Medicare UPIN