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NPI Code Detail

MEDICARE: DR. JESSICA E SIGEL MD

MEDICARE: DR. JESSICA E SIGEL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician35.074471OH
2207ZD0900XDermatopathology (Pathology) Physician35.074471OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
258005978100OTHEROHBUREAU OF WORKERS COMPENSATION

General Provider Information

NPI Number : 1912986746
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA E SIGEL MD
Provider Business Mailing Address
First Line : 7111 FAIRWAY DR
Second Line : #400
City : PALM BEACH GARDENS
State : FL
Zip : 33418-4204
Country : US
Telephone Number : 800-330-6565
Fax Number : 800-330-6565
Provider Business Practice Location Address
First Line : 7730 FIRST PL
Second Line : SUITE A
City : OAKWOOD VILLAGE
State : OH
Zip : 44146-6719
Country : US
Telephone Number : 440-703-2100
Fax Number : 440-703-2100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 09/15/2008

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