Provider Demographics
NPI:1154387272
Name:SELIGMAN, DAN (DPM)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:
Last Name:SELIGMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2190
Mailing Address - Street 2:
Mailing Address - City:WEST PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-7190
Mailing Address - Country:US
Mailing Address - Phone:781-231-7026
Mailing Address - Fax:
Practice Address - Street 1:ZERO GOVERNORS AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-0001
Practice Address - Country:US
Practice Address - Phone:781-391-3900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-26
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1598213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA701004OtherTUFTS HEALTH CARE
MA0340359Medicaid
MA33572OtherHARVARD PILGRIM HEALTH CA
480019165OtherRAILROAD MEDICARE
102975001OtherDME
MA37552OtherFALLON
MA00087OtherUNITED HEALTH CARE
MAS014264OtherSECURE HORIZONS
MAY70667OtherBLUE CROSS/BLUE SHIELD
480019165OtherRAILROAD MEDICARE
MA701004OtherTUFTS HEALTH CARE