Individual
DR. EDWARD BERT SELDIN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD MD
Contact information
Practice address
15 PARKMAN ST, WAC 230, BOSTON, MA 02114-3117
(617) 726-2743
(617) 726-2814
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
39785
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0154415
—
MA
01
—
703300
TUFTS HEALTH PLAN
MA
01
—
M09396
BCBS MA
MA
Enumeration date
10/31/2005
Last updated
07/08/2007
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