Organization
KEITH SEIDENBERG, MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEITH B SEIDENBERG MD (PHYSICIAN)
(201) 447-9101
Entity
Organization
Contact information
Practice address
600 GODWIN AVE, MIDLAND PARK, NJ 07432-1468
(201) 447-9101
(201) 447-9103
Mailing address
600 GODWIN AVE, MIDLAND PARK, NJ 07432-1468
(201) 447-9101
(201) 447-9103
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA05916500
NJ
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
09/29/2006
Last updated
04/09/2008
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