Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 1003042474 | DC |
NPI | 1003042474 |
---|---|
Provider Name | Emily Jean Siegel |
First Address | Washington, DC 20008-6233 |
Second Address | Washington, DC 20010-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/05/2009 |
Last Update Date | 15/12/2021 |