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NPI Code Detail

MEDICARE: MRS. CONSTANCE SELIGMAN MSW

MEDICARE: MRS. CONSTANCE SELIGMAN MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SC00294200NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17158411OTHERNJAETNA PIN NUMBER

General Provider Information

NPI Number : 1013992569
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CONSTANCE SELIGMAN MSW
Provider Business Mailing Address
First Line : 19 OAK PARK DR
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-4615
Country : US
Telephone Number : 973-993-9392
Fax Number : 973-539-2205
Provider Business Practice Location Address
First Line : 248 COLUMBIA TPKE
Second Line : SUITE 208 BLDG 3
City : FLORHAM PARK
State : NJ
Zip : 07932-1210
Country : US
Telephone Number : 973-539-2205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2005
Last Update Date : 07/09/2007

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