1659329530 NPI number — DR. RICHARD DAVID SELDIN DMD, MPA

Table of content: DR. RICHARD DAVID SELDIN DMD, MPA (NPI 1659329530)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659329530 NPI number — DR. RICHARD DAVID SELDIN DMD, MPA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SELDIN
Provider First Name:
RICHARD
Provider Middle Name:
DAVID
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DMD, MPA
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1659329530
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
50 PARK PL
Provider Second Line Business Mailing Address:
SUITE 1540
Provider Business Mailing Address City Name:
NEWARK
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07102-4308
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-643-1130
Provider Business Mailing Address Fax Number:
973-643-1537

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 PARK PL
Provider Second Line Business Practice Location Address:
SUITE 1540
Provider Business Practice Location Address City Name:
NEWARK
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07102-4308
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
973-643-1130
Provider Business Practice Location Address Fax Number:
973-643-1537
Provider Enumeration Date:
05/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223S0112X , with the licence number:  8460 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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