Provider Demographics
NPI:1033105234
Name:BERGEN CENTER FOR ARTHRITIS & RHEUMATOLOGY
Entity Type:Organization
Organization Name:BERGEN CENTER FOR ARTHRITIS & RHEUMATOLOGY
Other - Org Name:DR WM R SEELIGER
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:SEELIGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:201-945-4075
Mailing Address - Street 1:532 ANDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFFSIDE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07010-1721
Mailing Address - Country:US
Mailing Address - Phone:201-945-4074
Mailing Address - Fax:201-945-4070
Practice Address - Street 1:532 ANDERSON AVE
Practice Address - Street 2:
Practice Address - City:CLIFFSIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07010-1721
Practice Address - Country:US
Practice Address - Phone:201-945-4074
Practice Address - Fax:201-945-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA027958207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
C55487Medicare UPIN
NJ027185Medicare ID - Type Unspecified