Provider Demographics
NPI:1740413061
Name:SEIFARTH, FEDERICO G (MD, FMH,FAAP, FACS)
Entity type:Individual
Prefix:MR
First Name:FEDERICO
Middle Name:G
Last Name:SEIFARTH
Suffix:
Gender:M
Credentials:MD, FMH,FAAP, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 SNAKE HILL ROAD
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508
Mailing Address - Country:US
Mailing Address - Phone:406-752-5000
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL DRIVE WVU MEDICINE CHILDREN'S HOSPITAL
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26506
Practice Address - Country:US
Practice Address - Phone:304-598-1111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-03
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0942012086S0120X
MT443912086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery