Provider Demographics
NPI:1518285089
Name:SEAL, JEFFREY L (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:SEAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:120B SANTA MARGARITA AVE STE 211
Mailing Address - Street 2:#61011
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-2725
Mailing Address - Country:US
Mailing Address - Phone:202-964-0545
Mailing Address - Fax:219-209-5625
Practice Address - Street 1:120B SANTA MARGARITA AVE STE 211
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-2725
Practice Address - Country:US
Practice Address - Phone:202-964-0545
Practice Address - Fax:219-209-5625
Is Sole Proprietor?:No
Enumeration Date:2010-05-09
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD0487412084P0800X
MDD903922084P0800X
CAA1181352084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry