Healthcare Provider Details

I. General information

NPI: 1881982890
Provider Name (Legal Business Name): DANIELLE SEILER D.P.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2011
Last Update Date: 08/05/2022
Certification Date: 08/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 WHITE HORSE RD E
VOORHEES NJ
08043
US

IV. Provider business mailing address

648 CHILDS AVE
DREXEL HILL PA
19026-3805
US

V. Phone/Fax

Practice location:
  • Phone: 856-435-4000
  • Fax: 856-435-6866
Mailing address:
  • Phone: 484-521-0233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC006309
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number25MD00339600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: