Individual
DR. CARL JOHN SEASHORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2008-00016
NC
208000000X
Pediatrics Physician
216779
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2004917
—
MA
Enumeration date
10/27/2005
Last updated
10/06/2022
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