Healthcare Provider Details

I. General information

NPI: 1467412486
Provider Name (Legal Business Name): DAVID D SIEGER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 11/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 N POINTE BLVD
LANCASTER PA
17601-4132
US

IV. Provider business mailing address

170 N POINTE BLVD
LANCASTER PA
17601-4132
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-4871
  • Fax: 717-391-2494
Mailing address:
  • Phone: 717-299-4871
  • Fax: 717-391-2494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD034061E
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License NumberMD034061E
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: