Individual
SETH WILENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 UNION SQ E, SUITE 3C, NEW YORK, NY 10003-3314
(212) 844-8800
Mailing address
PO BOX 95000-2233, PHILADELPHIA, PA 19195-2233
(212) 844-8800
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
234923
NY
207NP0225X
Pediatric Dermatology Physician
234923
NY
207NS0135X
Procedural Dermatology Physician
234923
NY
207ZD0900X
Dermatopathology (Pathology) Physician
234923
NY
Other
Enumeration date
12/13/2005
Last updated
03/28/2014
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