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Individual

DR. SAMUEL O. SEIDEMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
58 E VIEW LN, BARRE, VT 05641-5317
(802) 223-0822
(802) 229-1353
Mailing address
1065 GONYEAU RD, PLAINFIELD, VT 05667-9661
(802) 476-7069

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0420005777
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0004657
VT
05
62126974
NY
Enumeration date
07/25/2006
Last updated
07/08/2007
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