Organization
JOHN WADE SEEDOR MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W SEEDOR MD (OWNER)
(610) 521-4677
Entity
Organization
Contact information
Practice address
204 E CHESTER PK, SUITE 4, RIDLEY PARK, PA 19078-1709
(610) 521-4677
(610) 521-0951
Mailing address
204 E CHESTER PK., SUITE 4, RIDLEY PARK, PA 19078-1709
(610) 521-4677
(610) 521-0951
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD027831E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0055283000
KEYSTONE HEALTH PLAN EAST
PA
01
—
1031213
KEYSTONE MERCY
PA
01
—
195833
BLUE SHIELD
PA
01
—
55442
AETNA
PA
01
—
P00294792
TRAVELERS MEDICARE
PA
Enumeration date
05/26/2006
Last updated
02/04/2015
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