Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | D59477 | MD |
N | 111NI0900X | Internist | D59477 | MD |
N | 207U00000X | Nuclear Medicine Specialist | D59477 | MD |
NPI | 1528176187 |
---|---|
Provider Name | Dr. David Seldin |
First Address | Baltimore, MD 21237-3901 |
Second Address | Baltimore, MD 21237-3901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
61222301 | BLUE SHIELD (01) | MD |
A96480 | (02) | MD |
T3900005 | BLUE SHIELD (01) | DC |