Basic Information
Provider Information
NPI: 1659923266
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SEIFIN
FirstName: AYMAN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 767 FAWNHILL RD
Address2:  
City: RADNOR
State: PA
PostalCode: 190081521
CountryCode: US
TelephoneNumber: 8489928306
FaxNumber:  
Practice Location
Address1: 1500 LANSDOWNE AVE
Address2:  
City: DARBY
State: PA
PostalCode: 190231200
CountryCode: US
TelephoneNumber: 6102374000
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/13/2019
LastUpdateDate: 06/23/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/23/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000XMD478418PAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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