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Provider Information for 1942382635

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. COLIN A SIEFF MB, BCH

Gender: MALE

Individual NPI: 1942382635

Calendar   Last Updated:  2007-07-08
  Certification Date: 

Details

Name Value
NPI 1942382635
Enumeration Date 2006-10-20
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 45 ORCHARD AVE
WABAN, MA 02468-2001
United States

Phone: 617-527-1417 | Fax:
View Map External Link
Primary Practice Address 300 LONGWOOD AVE FEGAN 7
BOSTON, MA 02115-5724
United States

Phone: 617-258-5228 | Fax: 617-258-6768
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID MA 3087440
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 2080P0207X - Pediatrics Pediatric Hematology-Oncology MA 73641