Provider Demographics
NPI:1770647976
Name:JOHN C SEED
Entity Type:Organization
Organization Name:JOHN C SEED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:C
Authorized Official - Last Name:SEED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:609-921-1720
Mailing Address - Street 1:33 WITHERSPOON ST
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08542-3207
Mailing Address - Country:US
Mailing Address - Phone:609-921-1720
Mailing Address - Fax:609-921-8205
Practice Address - Street 1:33 WITHERSPOON ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-3207
Practice Address - Country:US
Practice Address - Phone:609-921-1720
Practice Address - Fax:609-921-8205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2008-05-06
Deactivation Date:2008-02-15
Deactivation Code:
Reactivation Date:2008-05-02
Provider Licenses
StateLicense IDTaxonomies
NJ25MA02052800207Q00000X
NJ20528NJ207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJB19643Medicare UPIN
NJ0155510Medicare PIN