Healthcare Provider Details

I. General information

NPI: 1336252659
Provider Name (Legal Business Name): DAVID B SEIFER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125A KINGS HIGHWAY N YALE UNIVERSITY - OB/GYN REPRODUCTIVE ENDOCRINOLOGY
WESTPORT CT
06880
US

IV. Provider business mailing address

125A KINGS HIGHWAY NORTH YALE UNIVERSITY - OB/GYN REPRODUCTIVE ENDOCRINOLOGY
WESTPORT CT
06880
US

V. Phone/Fax

Practice location:
  • Phone: 203-341-8899
  • Fax:
Mailing address:
  • Phone: 203-341-8899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number169526
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License NumberMD169445
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number17734
License Number StateNH
# 4
Primary TaxonomyY
Taxonomy Code207VE0102X
TaxonomyReproductive Endocrinology Physician
License Number29737
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: