Provider Demographics
NPI:1457315376
Name:SELTER, JARED G (MD)
Entity Type:Individual
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First Name:JARED
Middle Name:G
Last Name:SELTER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2660 MAIN ST STE 216
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-5301
Mailing Address - Country:US
Mailing Address - Phone:475-210-3545
Mailing Address - Fax:203-581-6509
Practice Address - Street 1:115 TECHNOLOGY DR UNIT C300
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-6347
Practice Address - Country:US
Practice Address - Phone:203-445-7093
Practice Address - Fax:203-638-7981
Is Sole Proprietor?:No
Enumeration Date:2006-04-17
Last Update Date:2018-03-17
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Provider Licenses
StateLicense IDTaxonomies
CT039877207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease