Provider Demographics
NPI:1326021676
Name:PHILLIPS-SEITZ, BARBARA JOANNE (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:JOANNE
Last Name:PHILLIPS-SEITZ
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 1:5005 SIGNAL BELL LANE
Mailing Address - Street 2:STE 102
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-2606
Mailing Address - Country:US
Mailing Address - Phone:410-531-7557
Mailing Address - Fax:410-531-0818
Practice Address - Street 1:5005 SIGNAL BELL LANE
Practice Address - Street 2:STE 102
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-2606
Practice Address - Country:US
Practice Address - Phone:410-531-7557
Practice Address - Fax:410-531-0818
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0015191207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD994LK171Medicare ID - Type Unspecified
MDD94035Medicare UPIN