Individual
DR. CRAIG MATTHEW SEABLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1425 PORTLAND AVE, SURGICAL INTENSIVE CARE UNIT, ROCHESTER, NY 14621-3001
(585) 922-4100
Mailing address
1425 PORTLAND AVE, SURGICAL INTENSIVE CARE UNIT, ROCHESTER, NY 14621-3001
(585) 922-4100
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
250276
NY
207RP1001X
Pulmonary Disease Physician
250276
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03498524/03256008RGH
—
NY
Enumeration date
06/26/2008
Last updated
02/06/2014
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