Provider Demographics
NPI:1346578168
Name:SEIDE, WITZARD (MD)
Entity Type:Individual
Prefix:DR
First Name:WITZARD
Middle Name:
Last Name:SEIDE
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:WALTER REED NATL MILITARY CENTER AT BETHESDA
Mailing Address - Street 2:8901 WISCONSCIN AVENUE
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-0001
Mailing Address - Country:US
Mailing Address - Phone:301-295-4900
Mailing Address - Fax:
Practice Address - Street 1:WALTER REED ARMY MEDICAL CENTER PEDIATRICS
Practice Address - Street 2:6900 GEORGIA AVENUE
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-0001
Practice Address - Country:US
Practice Address - Phone:202-782-6102
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2012-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171000000XOther Service ProvidersMilitary Health Care Provider