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NPI Code Detail

MEDICARE: BRUCE J. SEILER OD

MEDICARE:   BRUCE J. SEILER  OD
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
1152W00000XOptometristOEG000962PA

General Provider Information

NPI Number : 1780780361
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE J. SEILER OD
Provider Business Mailing Address
First Line : 7215 FRANKFORD AVE
Second Line :
City : PHILA
State : PA
Zip : 19135-1010
Country : US
Telephone Number : 215-338-3849
Fax Number : 215-708-2136
Provider Business Practice Location Address
First Line : 7215 FRANKFORD AVE
Second Line :
City : PHILA
State : PA
Zip : 19135-1010
Country : US
Telephone Number : 215-338-3849
Fax Number : 215-708-2136
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 02/12/2008

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