Provider Demographics
NPI:1588647192
Name:SEAVER, PHILIP R JR (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:R
Last Name:SEAVER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:248 COLUMBIA TURNPIKE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932
Mailing Address - Country:US
Mailing Address - Phone:973-408-8346
Mailing Address - Fax:973-408-8350
Practice Address - Street 1:248 COLUMBIA TURNPIKE
Practice Address - Street 2:SUITE 1
Practice Address - City:FLORHAM PARK
Practice Address - State:NJ
Practice Address - Zip Code:07932
Practice Address - Country:US
Practice Address - Phone:973-408-8346
Practice Address - Fax:973-408-8350
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-29
Last Update Date:2018-09-04
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA03905400208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJD06969Medicare UPIN
NJ117056S7XMedicare PIN