Healthcare Provider Details

I. General information

NPI: 1437536331
Provider Name (Legal Business Name): JOHNATHAN SELIGMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2015
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE MEDICAL CENTER DR DHMC DEPARTMENT OF ANESTHESIOLOGY
LEBANON NH
03756-0001
US

IV. Provider business mailing address

ONE MEDICAL CENTER DR DHMC DEPARTMENT OF ANESTHESIOLOGY
LEBANON NH
03756-0001
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-8980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34129
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code207LC0200X
TaxonomyCritical Care Medicine (Anesthesiology) Physician
License Number0101269087
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: