Provider Demographics
NPI:1851351506
Name:SEEGLITZ, WILLIAM A JR (DO)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:SEEGLITZ
Suffix:JR
Gender:M
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:437 NEWTONVILLE AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEWTONVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02460-1934
Mailing Address - Country:US
Mailing Address - Phone:617-964-5959
Mailing Address - Fax:617-964-2452
Practice Address - Street 1:437 NEWTONVILLE AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:NEWTONVILLE
Practice Address - State:MA
Practice Address - Zip Code:02460-1934
Practice Address - Country:US
Practice Address - Phone:617-964-5959
Practice Address - Fax:617-964-2452
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-26
Last Update Date:2012-07-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA73155204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ09789Medicare ID - Type Unspecified
MAE99551Medicare UPIN