Individual
RALPH J. SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655-0002
(508) 856-6850
(508) 856-5990
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
81011
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110059335A
—
MA
05
—
3174981
—
MA
Enumeration date
01/05/2006
Last updated
04/18/2017
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