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Contact Information

TIMOTHY R SIEGEL, MD
1 MEDICAL CENTER DR
LEBANON, NH03756-1000
 Phone: 603-650-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Hospice and Palliative Medicine

2086H0002X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for TIMOTHY R SIEGEL · (Male)

NPI Number 1619931870
Status Active
Credentials MD
Entity Individual
Enumeration date 04/14/2006
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NH License # 15327
  • NH License # 33592
  • OR License # MD183891
  • VA License # 0101257693
  • NH Medicaid 3073841
  • NH Medicaid 32000782
  • NY Medicaid 01929280
  • VT Medicaid 1019444
  • NH Other AA224057 HARVARD PILGRIM
  • NH Other 002323701 MEDICARE PTAN
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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