| Doctor Name: | LINDA M. FORTUNATO-SIEGLEN |
| NPI Number: | 1922188051 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MA47038 |
| Business Practice Address: | 253 Witherspoon St Princeton, NJ - 085403211 |
| Business Phone Number: | 6094307174 |
| Business Fax Number: | 6094307793 |
| Mailing Address: | Po Box 3405, BOSTON |
| State: | MA |
| Postal Code: | 022413405 |
| Phone Number: | 2018042800 |
| Fax Number: | 2018048883 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 10/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | MA47038 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |