Provider Demographics
NPI:1417198045
Name:SEWARD, EUNJI BAE (MD)
Entity Type:Individual
Prefix:
First Name:EUNJI
Middle Name:BAE
Last Name:SEWARD
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 1:3130 N COUNTY ROAD 25A
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:OH
Mailing Address - Zip Code:45373-1337
Mailing Address - Country:US
Mailing Address - Phone:937-440-7497
Mailing Address - Fax:937-440-7337
Practice Address - Street 1:280 LOONEY RD
Practice Address - Street 2:SUITE 301
Practice Address - City:PIQUA
Practice Address - State:OH
Practice Address - Zip Code:45356-4199
Practice Address - Country:US
Practice Address - Phone:937-773-0428
Practice Address - Fax:937-773-0439
Is Sole Proprietor?:No
Enumeration Date:2009-03-11
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-092651207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology