Individual provider · Type 1 NPI

Samuel Bloom Seidman, MA

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1174135016 Active

Practice location

3518 W 25th St
Cleveland, OH 44109-1951

Mailing address

12511 Clifton Blvd Apt 27
Lakewood, OH 44107-6500

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174135016

Samuel Bloom Seidman, MA's National Provider Identifier is 1174135016, issued on Aug 21, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 21, 2020.