Provider Demographics
NPI:1073992905
Name:SELTZER, ERROL
Entity Type:Individual
Prefix:
First Name:ERROL
Middle Name:
Last Name:SELTZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39-23 DAURIA DR
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5143
Mailing Address - Country:US
Mailing Address - Phone:201-796-2616
Mailing Address - Fax:
Practice Address - Street 1:39-23 DAURIA DR
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5143
Practice Address - Country:US
Practice Address - Phone:201-796-2616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist