Provider Demographics
NPI:1265493969
Name:SEILER, ANGELE CAROLYN (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELE
Middle Name:CAROLYN
Last Name:SEILER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 NORTH GEORGE MASON DR., SUITE 490
Mailing Address - Street 2:ARLINGTON PRIMARY CARE, P.C.
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-3671
Mailing Address - Country:US
Mailing Address - Phone:703-522-5300
Mailing Address - Fax:703-908-0148
Practice Address - Street 1:1635 NORTH GEORGE MASON DR., SUITE 490
Practice Address - Street 2:ARLINGTON PRIMARY CARE, P.C.
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22205-3671
Practice Address - Country:US
Practice Address - Phone:703-522-5300
Practice Address - Fax:703-908-0148
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101056429207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA822999OtherGROUP MEDICARE #
VA0101056429OtherSTATE LIC #
VAH05558Medicare UPIN
VA0101056429OtherSTATE LIC #