Provider Demographics
NPI:1619338126
Name:SEIFF CENTER FOR AESTHETIC & RECONSTRUCTIVE SURGERY PA
Entity Type:Organization
Organization Name:SEIFF CENTER FOR AESTHETIC & RECONSTRUCTIVE SURGERY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:BRYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:302-384-8696
Mailing Address - Street 1:3 ZACHARY CT
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3967
Mailing Address - Country:US
Mailing Address - Phone:201-960-0971
Mailing Address - Fax:
Practice Address - Street 1:200 BANNING ST
Practice Address - Street 2:SUITE 370
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3485
Practice Address - Country:US
Practice Address - Phone:302-384-8696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-10
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-0008706261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE132806ZAYFMedicare UPIN