MEDICARE: JENNIFER SIEGEL PHARMD

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
1	183500000X	Pharmacist	RP441942	PA

General Provider Information

NPI Number	:	1336421213
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER SIEGEL PHARMD

Provider Business Mailing Address
First Line	:	1 PENN CENTER
Second Line	:	1617 JFK BLVD
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103
Country	:	US
Telephone Number	:	215-561-1316
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 PENN CENTER
Second Line	:	1617 JFK BLVD
City	:	PHILADELPHIA
State	:	PA
Zip	:	19103
Country	:	US
Telephone Number	:	215-561-1316
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2011
Last Update Date	:	09/15/2011

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