Provider Demographics
NPI:1366686701
Name:SEILER, ELEANOR C (MD)
Entity Type:Individual
Prefix:
First Name:ELEANOR
Middle Name:C
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 1:1147 N STONE ST
Mailing Address - Street 2:
Mailing Address - City:WEST SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06093-2310
Mailing Address - Country:US
Mailing Address - Phone:860-668-6639
Mailing Address - Fax:
Practice Address - Street 1:1147 N STONE ST
Practice Address - Street 2:
Practice Address - City:WEST SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06093-2310
Practice Address - Country:US
Practice Address - Phone:860-668-6639
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA35914208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics