Provider Demographics
NPI:1518198183
Name:SELIGMANN, MARSHALL JAY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARSHALL
Middle Name:JAY
Last Name:SELIGMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:18555 VENTURA BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-4191
Mailing Address - Country:US
Mailing Address - Phone:818-614-3088
Mailing Address - Fax:818-614-3087
Practice Address - Street 1:18555 VENTURA BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-4191
Practice Address - Country:US
Practice Address - Phone:818-614-3088
Practice Address - Fax:818-614-3087
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2021-11-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA107417208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics