Provider Demographics
NPI:1467633792
Name:SELIGSON, FAITH (DC)
Entity Type:Individual
Prefix:DR
First Name:FAITH
Middle Name:
Last Name:SELIGSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 NEW HAVEN AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3398
Mailing Address - Country:US
Mailing Address - Phone:203-645-2691
Mailing Address - Fax:
Practice Address - Street 1:8 COUNTRY CLUB CLOSE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-1439
Practice Address - Country:US
Practice Address - Phone:203-645-2691
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-15
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001311111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor