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NPI Code Detail

MEDICARE: ELIZABETH V SEIVERLING M.D.

MEDICARE: ELIZABETH V SEIVERLING M.D.
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
1207N00000XDermatology PhysicianMD22090ME
2207N00000XDermatology PhysicianMD448202PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10265042OTHERWAL & I

General Provider Information

NPI Number : 1952438384
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH V SEIVERLING M.D.
Provider Business Mailing Address
First Line : 1251 E MAIN ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1643
Country : US
Telephone Number : 717-988-0580
Fax Number :
Provider Business Practice Location Address
First Line : 1251 E MAIN ST
Second Line :
City : ANNVILLE
State : PA
Zip : 17003-1643
Country : US
Telephone Number : 717-988-0580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/21/2024

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