Sanford Jay Siegel, MD | |
21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 | |
(410) 581-1600 | |
(410) 581-1603 |
Full Name | Sanford Jay Siegel |
---|---|
Gender | Male |
Speciality | Urology |
Location | 21 Crossroads Dr, Owings Mills, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376506477 | NPI | - | NPPES |
382821200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | D32029 (Maryland) | Primary |
Entity Name | Chesapeake Urology Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609823004 PECOS PAC ID: 4789673393 Enrollment ID: O20040510000449 |
Mailing Address | Practice Location Address |
---|---|
Sanford Jay Siegel, MD 25 Crossroads Dr, Suite 306, Owings Mills, MD 21117-5421 Ph: (443) 738-2889 | Sanford Jay Siegel, MD 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117-5441 Ph: (410) 581-1600 |
Dr. Laura Giusto, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr Ste 200, Owings Mills, MD 21117 Phone: 410-581-1600 | |
Justin Fang, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 25 Crossroads Dr Ste 306, Owings Mills, MD 21117 Phone: 443-738-8170 Fax: 443-738-2713 | |
Dr. Kelly Christina Johnson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 21 Crossroads Dr, Suite 200, Owings Mills, MD 21117 Phone: 410-581-8140 Fax: 410-356-0885 |