Healthcare Provider Details

I. General information

NPI: 1356405393
Provider Name (Legal Business Name): MICHAEL D SEIDNER, M.D.,FACOG, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 PROSPECT AVE
HACKENSACK NJ
07601-2570
US

IV. Provider business mailing address

385 PROSPECT AVE
HACKENSACK NJ
07601-2570
US

V. Phone/Fax

Practice location:
  • Phone: 201-488-1700
  • Fax: 201-488-1704
Mailing address:
  • Phone: 201-488-1700
  • Fax: 201-488-1704

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MARITZA PEREZ
Title or Position: OFFICE MANAGER
Credential:
Phone: 201-488-1700