Provider Demographics
NPI:1265561203
Name:SEYDEL, TERESA JANE (MD)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:JANE
Last Name:SEYDEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:JANE
Other - Last Name:ADDEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-1800
Mailing Address - Fax:717-851-1810
Practice Address - Street 1:1010 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-3864
Practice Address - Country:US
Practice Address - Phone:717-851-1800
Practice Address - Fax:717-851-1810
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD430509207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA261033OtherUNISON-WMG WFM
PA9361058OtherAETNA
PA109228OtherGEISINGER
PA212467OtherUNISON-WMG
PA20064757OtherAMERIHEALTH MERCY-WMG
PA261036OtherUNISON-WMG VGFM
PA50069801OtherCAPITAL BLUE CROSS-WMG
PA210801OtherJOHNS HOPKINS
PA2168117OtherMAMSI-WMG
PA50083203OtherCAPITAL BC-WMG VGFM
PA296456OtherUNISON-WMG
PA2848366000OtherAMERIHEALTH 65PA
PA50083182OtherCAPITAL BC-WMG WFM
PA1966917OtherHIGHMARK BLUE SHIELD
PA101917283Medicaid
MD897636OtherCAREFIRST MD BCBS
PAP008726OtherGATEWAY-WMG
PAP008726OtherGATEWAY-WMG
PA261036OtherUNISON-WMG VGFM