Provider Demographics
NPI:1790883569
Name:SELIGMULLER, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SELIGMULLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936
Mailing Address - Country:US
Mailing Address - Phone:973-887-9000
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:2055 HAMBURG TPK.
Practice Address - Street 2:2ND FLOOR
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-6297
Practice Address - Country:US
Practice Address - Phone:973-835-0909
Practice Address - Fax:973-835-0994
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA00860700OtherLICENSE #