Provider Demographics
NPI:1679548804
Name:SEIDEL, RAMONA GWEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:GWEN
Last Name:SEIDEL
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Gender:F
Credentials:MD
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Mailing Address - Street 1:269 PENINSULA FARM RD
Mailing Address - Street 2:SUITE F
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1013
Mailing Address - Country:US
Mailing Address - Phone:410-518-9008
Mailing Address - Fax:510-518-9842
Practice Address - Street 1:269 PENINSULA FARM RD
Practice Address - Street 2:SUITE F
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1013
Practice Address - Country:US
Practice Address - Phone:410-518-9808
Practice Address - Fax:410-518-9842
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2015-09-03
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Provider Licenses
StateLicense IDTaxonomies
MDD52944207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
F35178Medicare UPIN