Provider Demographics
NPI:1043463250
Name:SELTZER, CHARLES W (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:W
Last Name:SELTZER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1429 WALNUT ST
Mailing Address - Street 2:SUITE 1101
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-3218
Mailing Address - Country:US
Mailing Address - Phone:215-279-8376
Mailing Address - Fax:215-933-5593
Practice Address - Street 1:1429 WALNUT ST
Practice Address - Street 2:SUITE 1101
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-3218
Practice Address - Country:US
Practice Address - Phone:215-279-8376
Practice Address - Fax:215-933-5593
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-31
Last Update Date:2015-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD437081207RB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RB0002XAllopathic & Osteopathic PhysiciansInternal MedicineObesity Medicine