Provider Demographics
NPI:1649394925
Name:MARGOT SELIGMAN DBA MARGOT SELIGMAN OD
Entity type:Organization
Organization Name:MARGOT SELIGMAN DBA MARGOT SELIGMAN OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PROP
Authorized Official - Prefix:
Authorized Official - First Name:MARGOT
Authorized Official - Middle Name:
Authorized Official - Last Name:SELIGMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:617-864-7005
Mailing Address - Street 1:1 PORTER SQ
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1431
Mailing Address - Country:US
Mailing Address - Phone:617-864-7005
Mailing Address - Fax:617-864-3250
Practice Address - Street 1:1 PORTER SQ
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-1431
Practice Address - Country:US
Practice Address - Phone:617-864-7005
Practice Address - Fax:617-864-3250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty