Basic Information
| Provider Information | |||||||||
| NPI: | 1013923143 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEITZ | ||||||||
| FirstName: | CORTNEY | ||||||||
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| Credential: | PAC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2101 ROUTE 34 | ||||||||
| Address2: | |||||||||
| City: | WALL TOWNSHIP | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 077199104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7329740003 | ||||||||
| FaxNumber: | 7329704443 | ||||||||
| Practice Location | |||||||||
| Address1: | 1945 ROUTE 33 | ||||||||
| Address2: | K HOVNANIAN CHILDREN'S HOSPITAL | ||||||||
| City: | NEPTUNE | ||||||||
| State: | NJ | ||||||||
| PostalCode: | 07753 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7324133626 | ||||||||
| FaxNumber: | 7327762344 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2006 | ||||||||
| LastUpdateDate: | 01/03/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/03/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363AS0400X | 25MP00174300 | NJ | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | Surgical |
No ID Information.