Individual
DR. IRA F SELSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6111 EXECUTIVE BLVD, ROCKVILLE REGIONAL LAB, ROCKVILLE, MD 20852-3911
(301) 255-4000
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
D31645
MD
Other
Enumeration date
12/05/2006
Last updated
11/10/2011
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