Provider Demographics
NPI:1962583914
Name:PINOSKI-SEYLER, LOUISE C (PAC)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:C
Last Name:PINOSKI-SEYLER
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 N OXFORD VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-8304
Mailing Address - Country:US
Mailing Address - Phone:215-949-5611
Mailing Address - Fax:215-949-7822
Practice Address - Street 1:380 N OXFORD VALLEY RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-8304
Practice Address - Country:US
Practice Address - Phone:215-949-5611
Practice Address - Fax:215-949-7822
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2019-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA001193L207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAMA001193LOtherSTATE LICENSE
NJ25MP00141OtherSTATE LICENSE