Provider Demographics
NPI:1568128627
Name:SEESE, WILLIAM R II
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:R
Last Name:SEESE
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 S 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-3105
Mailing Address - Country:US
Mailing Address - Phone:732-421-6510
Mailing Address - Fax:
Practice Address - Street 1:123 S 8TH AVE
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-3105
Practice Address - Country:US
Practice Address - Phone:732-421-6510
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone