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General NPI Number Information
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NPI Number | 1811052079
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Entity Type | Individual
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Provider Name | VALERIE BETH SELIGSON OD
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 10700 CHARTER DR SUITE 140
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City | COLUMBIA
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State | MD
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Zip | 21044-3629
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Country | US
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Telephone | 301-908-2676
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Fax | 410-910-2393
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Provider Business Mailing Address
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Address Line | PO BOX 64481
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City | BALTIMORE
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State | MD
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Zip | 21264-4481
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000280
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0601001213
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TA0895
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License Number State | MD
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