Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 0101248007 | VA |
N | 2080P0210X | Pediatric Nephrologist | 48100 | CT |
N | 2080P0210X | Pediatric Nephrologist | MD038931 | DC |
NPI | 1942432919 |
---|---|
Provider Name | Dr. Patricia W Seo-Mayer |
First Address | Boston, MA 02241-8283 |
Second Address | Washington, DC 20007-2113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2009 |
Last Update Date | 14/03/2012 |