Healthcare Provider Details
I. General information
NPI: 1831944370
Provider Name (Legal Business Name): SEEN MEDICAL GROUP, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/18/2024
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 OAK ST STE 3
NEEDHAM MA
02492-2470
US
IV. Provider business mailing address
15 OAK ST STE 3
NEEDHAM MA
02492-2470
US
V. Phone/Fax
- Phone: 339-793-8998
- Fax:
- Phone: 339-793-8998
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QB0002X |
| Taxonomy | Obesity Medicine (Family Medicine) Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RB0002X |
| Taxonomy | Obesity Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRITTA
R.
REIERSON
Title or Position: CEO
Credential: MD
Phone: 315-216-2910