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NPI Code Detail

MEDICARE: NEONATAL CARE, PC

MEDICARE: NEONATAL CARE, PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080N0001XNeonatal-Perinatal Medicine PhysicianNANE

General Provider Information

NPI Number : 1215934492
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEONATAL CARE, PC
Provider Business Mailing Address
First Line : PO BOX 49
Second Line :
City : PITTSBURGH
State : PA
Zip : 15230-0049
Country : US
Telephone Number : 412-937-5949
Fax Number : 412-937-5705
Provider Business Practice Location Address
First Line : 707 N 190TH PLZ
Second Line :
City : ELKHORN
State : NE
Zip : 68022-3974
Country : US
Telephone Number : 402-955-6140
Fax Number : 402-955-3398
Authorized Official
Title or Position : PRESIDENT
Name : THOMAS W SEIDEL
Credential : MD
Telephone Number : 402-955-6140
Provider Enumeration Date : 07/05/2005
Last Update Date : 05/29/2015

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