Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | 1052CLS | MT |
N | 170100000X | Medical Geneticist | 25MS00007900 | NJ |
Y | 170100000X | Medical Geneticist | DRN00000038 | CA |
N | 170100000X | Medical Geneticist | SELTW1 | NY |
NPI | 1649485616 |
---|---|
Provider Name | Dr. William Kent Seltzer |
First Address | San Mateo, CA 94402-1561 |
Second Address | San Mateo, CA 94402-1561 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/05/2007 |
Last Update Date | 15/03/2013 |