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NPI Code Detail

MEDICARE: MARC A SEFTEL MD

MEDICARE: MARC A SEFTEL MD
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
1174400000XSpecialistA44368CA
2207YP0228XPediatric Otolaryngology PhysicianA44368CA
3207YS0012XSleep Medicine (Otolaryngology) PhysicianA44368CA
4207YX0901XOtology & Neurotology PhysicianA44368CA
5207YX0602XOtolaryngic Allergy PhysicianA44368CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457307761
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC A SEFTEL MD
Provider Business Mailing Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-476-0264
Provider Business Practice Location Address
First Line : 550 WATER ST STE A
Second Line :
City : SANTA CRUZ
State : CA
Zip : 95060-4126
Country : US
Telephone Number : 831-476-4414
Fax Number : 831-476-0264
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2006
Last Update Date : 01/25/2018

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Directions to “ MARC A SEFTEL MD” Practice Location

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