Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 239796 | NY |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 25MA07432800 | NJ |
NPI | 1811947187 |
---|---|
Provider Name | Dr. Seth Robert Queler |
First Address | Nutley, NJ 07110-3224 |
Second Address | Nutley, NJ 07110-3224 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2006 |
Last Update Date | 22/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I60808 | (02) | NY |