Healthcare Provider Details

I. General information

NPI: 1548353345
Provider Name (Legal Business Name): LEONARD H SELTZER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 VEALE RD, SUITE 11
WILMINGTON DE
19810-4609
US

IV. Provider business mailing address

1309 VEALE RD SUITE 11
WILMINGTON DE
19810
US

V. Phone/Fax

Practice location:
  • Phone: 302-798-8070
  • Fax: 302-798-5902
Mailing address:
  • Phone: 302-229-8506
  • Fax: 302-478-7716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberC10000499
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number1989019189
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: