Healthcare Provider Details

I. General information

NPI: 1437543923
Provider Name (Legal Business Name): NATAN SEIDEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2015
Last Update Date: 10/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 WOOD RD STE 301
BRAINTREE MA
02184-2418
US

IV. Provider business mailing address

340 WOOD RD STE 301
BRAINTREE MA
02184-2418
US

V. Phone/Fax

Practice location:
  • Phone: 781-356-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number273830
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: