Provider Demographics
NPI:1265447072
Name:SECUNDA, STEVEN KALMAN (MD)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:KALMAN
Last Name:SECUNDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1050 BALTIMORE PIKE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2853
Mailing Address - Country:US
Mailing Address - Phone:610-543-1990
Mailing Address - Fax:610-328-1577
Practice Address - Street 1:1050 BALTIMORE PIKE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2853
Practice Address - Country:US
Practice Address - Phone:610-543-1990
Practice Address - Fax:610-328-1577
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD009656E2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB39852Medicare UPIN
PA148550Medicare ID - Type Unspecified