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Contact Information

JONATHAN A SEIDENBERG, MD
2023 PULASKI HIGHWAY
HAVRE DE GRACE, MD21078
 Phone: 410-939-6477
 Fax: 410-939-6555
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for JONATHAN A SEIDENBERG · (Male)

NPI # 1790787927
Status Active
Credentials MD
Entity Individual
Enumeration date 06/01/2005
Last updated 11/11/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # D38724
  • MD Medicaid 544711900
  • Other W2450003 FEDERAL BLUESHIELD
  • MD Other 42492601 CAREFIRST BLUESHILED
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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