Healthcare Provider Details
I. General information
NPI: 1881880243
Provider Name (Legal Business Name): SEAVIEW PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/19/2007
Last Update Date: 09/19/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1560 HIGHWAY 138 WEST
WALL TOWNSHIP NJ
07719
US
IV. Provider business mailing address
1560 HIGHWAY 138 WEST
WALL TOWNSHIP NJ
07719
US
V. Phone/Fax
- Phone: 732-449-8592
- Fax: 732-449-2108
- Phone: 732-449-8592
- Fax: 732-449-2108
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CATHERINE
L
MELI
Title or Position: PEDIATRICIAN
Credential: LICENSE MA62496
Phone: 732-449-8592