MEDICARE: DR. WILLIAM A SEEGLITZ JR. D.O.

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
1	204D00000X	Neuromusculoskeletal Medicine & OMM Physician	73155	MA

General Provider Information

NPI Number	:	1851351506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM A SEEGLITZ JR. D.O.

Provider Business Mailing Address
First Line	:	437 NEWTONVILLE AVE
Second Line	:	SUITE 3
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-1934
Country	:	US
Telephone Number	:	617-964-5959
Fax Number	:	617-964-2452

Provider Business Practice Location Address
First Line	:	437 NEWTONVILLE AVE
Second Line	:	SUITE 3
City	:	NEWTONVILLE
State	:	MA
Zip	:	02460-1934
Country	:	US
Telephone Number	:	617-964-5959
Fax Number	:	617-964-2452

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2006
Last Update Date	:	07/05/2012

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