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Individual

JONATHAN SELTZER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
225 E CITY AVE, BALA CYNWYD, PA 19004-1704
(484) 429-7200
Mailing address
1001 HAGYS FORD RD, PENN VALLEY, PA 19072-1439

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD053126L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD053126L
STATE LICENSE
Enumeration date
07/17/2013
Last updated
07/17/2013
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