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Organization
RICHARD M SELDES M D P C
Active
Organization
RICHARD M SELDES M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANTINA LORA (OFFICE MANAGER)
(212) 604-1367
Entity
Organization
Contact information
Practice address
4 ROSE HAVEN LN, ROCKLEIGH, NJ 07647-2720
(212) 604-1367
Mailing address
PO BOX 27881, NEW YORK, NY 10087-7881
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
216190
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06076
GHI MEDICARE
NY
01
—
111860
MEDICARE NEW JERSEY
NJ
01
—
P00224589
RAILROAD MEDICARE
NY
Enumeration date
09/27/2006
Last updated
07/21/2008
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