MARK D. SIEGEL (Credential# 550680) is licensed (Physician/surgeon) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.
MARK D. SIEGEL is licensed with the Department of Consumer Protection of Connecticut. The credential number is #1.033081. The credential type is physician/surgeon. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 333 Cedar Street, New Haven, CT 06520. The current status is active.
| Licensee Name | MARK D. SIEGEL |
| Credential ID | 550680 |
| Credential Number | 1.033081 |
| Credential Type | Physician/Surgeon |
| Business Address |
333 Cedar Street New Haven CT 06520 |
| Business Type | INDIVIDUAL |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 1993-07-01 |
| Effective Date | 2020-04-01 |
| Expiration Date | 2021-03-31 |
| Refresh Date | 2020-03-09 |
| ID | Credential Code | Credential Type | Issue | Term | Status |
|---|---|---|---|---|---|
| 164503 | CSP.0022289 | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER | 1999-03-02 | 2019-03-01 - 2021-02-28 | ACTIVE |
| Street Address | 333 Cedar Street |
| City | New Haven |
| State | CT |
| Zip Code | 06520 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Molly Elizabeth Mcadow | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mamatha Punjala Md | 333 Cedar Street, New Haven, CT 06520-8051 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Katherine Nash | 333 Cedar Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Richard Bronen Md | 333 Cedar Street, New Haven, CT 06520-8042 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dianne Lee | 333 Cedar Street, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Lavanya Bellumkonda | 333 Cedar Street, New Haven, CT 06520-8017 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Zachary A Corbin | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Engin Deniz Md | 333 Cedar Street, New Haven, CT 06510 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Daniel P Petrylak | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-06-01 ~ 2021-05-31 |
| Kelly May Werner | 333 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| Find all Licenses in the same address | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Orchestra New England | P.o. Box 200123, New Haven, CT 06520 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Catherine A Dinauer | 333 Cedar St., Fmb 131, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kofi Agyare Mensah | 300 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Kevin Huang | 330 Cedar Street, New Haven, CT 06520 | Physician/surgeon | 2020-08-01 ~ 2021-07-31 |
| Mubdiul Imtiaz Ali | 300 Cedar St, Tac S425, New Haven, CT 06520 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Dr Akhil Khosla | 300 Cedar St, Tac S425 P.o. Box 208057, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Scott N Gettinger Md | 333 Cedar St-yale Cancer Center, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Lindsay Sarah Mcalpine | Yale -new Haven Hospital, New Haven, CT 06520 | Resident Physician | 2020-07-01 ~ 2021-06-30 |
| Michael Hurwitz | 333 Cedar St Www211, New Haven, CT 06520 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Patrick M Popiel | Yale University, Department of Ob/gyn, New Haven, CT 06520 | Resident Physician | 2017-07-01 ~ 2021-06-30 |
| Find all Licenses in zip 06520 | |||
| City | New Haven |
| Zip Code | 06520 |
| License Type | Physician/Surgeon |
| License Type + County | Physician/Surgeon + New Haven |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Norman J Siegel | 43 Wellington Dr, Orange, CT 06477 | Physician/surgeon | 2006-02-06 ~ 2007-03-31 |
| Drew K Siegel | 205 Brighton Dr, Elon, NC 27244-8306 | Physician/surgeon | 2009-10-01 ~ 2010-09-22 |
| Bernard S Siegel Md | 61 Oxbow Lane, Woodbridge, CT 06525 | Physician/surgeon | 2019-11-01 ~ 2020-10-31 |
| Bonita H Siegel | 210 Saint James Pl, Brooklyn, NY 11238 | Physician/surgeon | 2013-10-01 ~ 2014-09-30 |
| Lesley Siegel Md | 79 Kildeer Road, Hamden, CT 06517 | Physician/surgeon | 2014-05-01 ~ 2015-04-30 |
| Samantha Siegel | 20 York St Tompkins 226, New Haven, CT 06510-3220 | Physician/surgeon | 2020-05-01 ~ 2021-04-30 |
| S. Jonathan Siegel | 80 Shunpike Rd Unit 301, Cromwell, CT 06416-4402 | Physician/surgeon | 2020-02-01 ~ 2021-01-31 |
| Fred S Siegel | 540 Saybrook Road, Middletown, CT 06457 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Stephen B Siegel Md | 1579 Straits Turnpike, Middlebury, CT 06762 | Physician/surgeon | 2018-03-01 ~ 2019-02-28 |
| Sharon G Siegel | 8007 St Martins Lane, Philadelphia, PA 19118 | Physician/surgeon | ~ 1999-10-31 |
Please comment or provide details below to improve the information on MARK D. SIEGEL.
| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).