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Individual
JAY RICHARD SEIDLER
Active
Individual
JAY RICHARD SEIDLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2010-00404
NC
207Q00000X
Family Medicine Physician
34007261
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962407254
—
VA
05
—
2001246000
—
WV
05
—
2252968
—
OH
05
—
5914840
—
NC
Enumeration date
06/15/2005
Last updated
10/25/2020
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