Provider Demographics
NPI:1992845168
Name:SEDSTAFF, LLC
Entity Type:Organization
Organization Name:SEDSTAFF, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:RENA
Authorized Official - Last Name:BOGGIO
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, MSA
Authorized Official - Phone:410-703-8858
Mailing Address - Street 1:782 MARSTON CT
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1499
Mailing Address - Country:US
Mailing Address - Phone:410-703-8858
Mailing Address - Fax:
Practice Address - Street 1:782 MARSTON CT
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1499
Practice Address - Country:US
Practice Address - Phone:410-703-8858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty