Provider Demographics
NPI:1487896981
Name:SEIDMAN, MICHAEL AARON (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:AARON
Last Name:SEIDMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 WOLF CREEK CRES
Mailing Address - Street 2:
Mailing Address - City:MAPLE
Mailing Address - State:ON
Mailing Address - Zip Code:L6A 4C6
Mailing Address - Country:CA
Mailing Address - Phone:604-682-2344
Mailing Address - Fax:
Practice Address - Street 1:TORONTO GENERAL HOSPITAL
Practice Address - Street 2:200 ELIZABETH ST. 11E-421
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5G 2C4
Practice Address - Country:CA
Practice Address - Phone:416-340-3003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-30
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD455343207ZP0007X, 207ZP0101X
ZZ38574207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
No207ZP0007XAllopathic & Osteopathic PhysiciansPathologyMolecular Genetic Pathology