Individual
DR. JONATHAN ALAN SEIDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078
(410) 939-6477
(410) 939-6555
Mailing address
2023 PULASKI HIGHWAY, HAVRE DE GRACE, MD 21078
(410) 939-6477
(410) 939-6555
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
D38724
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42492601
CAREFIRST BLUESHILED
MD
05
—
544711900
—
MD
01
—
W2450003
FEDERAL BLUESHIELD
—
Enumeration date
06/01/2005
Last updated
11/11/2020
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