Basic Information
Provider Information
NPI: 1740677749
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SELIG
FirstName: DANIEL
MiddleName: JAARON
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Mailing Information
Address1: 194954 N PALMER RD AMERICA BUILDING DEPT WRNMMC
Address2: INTERNAL MEDICINE
City: BETHESDA
State: MD
PostalCode: 208895600
CountryCode: US
TelephoneNumber: 3012950196
FaxNumber:  
Practice Location
Address1: 194954 N. PALMER RD. AMERICA BUILDING
Address2: INTERNAL MEDICINE DEPARTMENT WRNMMC
City: BETHESDA
State: MD
PostalCode: 208895600
CountryCode: US
TelephoneNumber: 3012950451
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/17/2015
LastUpdateDate: 06/06/2017
NPIDeactivationReasonCode:  
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ProviderGenderCode: M
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XD82373MDY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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