Provider Demographics
NPI:1649063900
Name:CSASZAR, SETH MICHAEL
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:MICHAEL
Last Name:CSASZAR
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PRINCE ANDREW CT
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3702
Mailing Address - Country:US
Mailing Address - Phone:484-350-0470
Mailing Address - Fax:
Practice Address - Street 1:496 KINGS HWY N STE 110
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-1002
Practice Address - Country:US
Practice Address - Phone:856-438-5633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02336500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist