Provider Demographics
NPI:1700884079
Name:SELTMAN, MARTIN IAN (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:IAN
Last Name:SELTMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 B WEST ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221
Mailing Address - Country:US
Mailing Address - Phone:412-247-2310
Mailing Address - Fax:412-247-2373
Practice Address - Street 1:901B WEST ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2833
Practice Address - Country:US
Practice Address - Phone:412-247-2310
Practice Address - Fax:412-247-2373
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD023111E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1096759Medicaid
PAC30378Medicare UPIN
PAST109343Medicare ID - Type Unspecified