MEDICARE: DR. DAVID JAMES SEASTONE PH.D., D.O.

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
1	207RH0003X	Hematology & Oncology Physician	34.010019	OH
2	390200000X	Student in an Organized Health Care Education/Training Program		OH
3	207RH0003X	Hematology & Oncology Physician	OS016804	PA

General Provider Information

NPI Number	:	1629211982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID JAMES SEASTONE PH.D., D.O.

Provider Business Mailing Address
First Line	:	5096 RIDGEDALE DR
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16506-6114
Country	:	US
Telephone Number	:	814-833-5454
Fax Number	:

Provider Business Practice Location Address
First Line	:	2500 W 12TH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16505-4500
Country	:	US
Telephone Number	:	814-836-2600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2009
Last Update Date	:	10/29/2021

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Directions to “ DR. DAVID JAMES SEASTONE PH.D., D.O.” Practice Location

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