Individual ProviderStanley SiegelmanRadiologyAllopathic & Osteopathic PhysiciansPractice Address600 N Wolfe St, Baltimore, MD 21287-0005(410) 955-6500PECOS EnrollmentBased on the most recent information from CMS, provider Stanley Siegelman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1427088970Provider TypeIndividualFull NameSiegelman, StanleyCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date7/3/2006Last Updated2/18/2013Contact InformationPractice LocationPractice Address600 N Wolfe St, Baltimore, MD 21287-0005Phone(410) 955-6500FaxUnlisted FaxMailing LocationMailing AddressPO Box 64358, Baltimore, MD 21264-4358Phone(410) 955-6500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseD15916MarylandProvider IdentifiersIDDescriptionIssuerID317871400DescriptionMedicaidIssuerUnlistedMaryland