Seldin, Edward Bert
Seldin, Edward Bert is an individual health care provider with primary practice located at 15 Parkman St Wac 230, Boston MA 02114-3117. He recently has only one registered license in Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, which is considered as his primary health care specialty. Seldin, Edward Bert can be contacted via phone (617) 726-2743.Contact Information
Primary practice address
15 Parkman St Wac 230
Boston MA 02114-3117
Phone: (617) 726-2743
Fax: (617) 726-2814
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery | 204E00000X | 39785 | Massachusetts |
Profile Details
NPI number | 1316938202 |
---|---|
LBN Legal business name | Seldin, Edward Bert |
Credentials | DMD MD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 31st, 2005 |
Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316938202 | NPPES |
Massachusetts | Other | 703300 | TUFTS HEALTH PLAN |
Massachusetts | MEDICAID | 0154415 | TUFTS HEALTH PLAN |
Massachusetts | Other | M09396 | TUFTS HEALTH PLAN |
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