Individual
ALLEN SEFTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 963-3577
(856) 963-8784
Mailing address
3 COOPER PLZ, SUTIE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
35-056249
OH
208800000X
Urology Physician
Primary
MA08630800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000025070
ANTHEM
OH
01
—
000000221032
UNISON
OH
01
—
000000507517
ANTHEM
OH
01
—
0065788
AETNA
OH
05
—
0878395
—
OH
01
—
363998
WELLCARE
OH
01
—
741849
BUCKEYE
OH
01
—
85441339
TRICARE
OH
01
—
MA08630800
STATE LICENSE
NJ
01
—
P00364285
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
04/25/2016
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