Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Su-Jean Seo, MD, PHD

Individual provider Dermatology Physician · NPI 1346376050

Su-Jean Seo, MD, PHD is a Dermatology in Providence, Rhode Island. Graduated from Perelman School of Med at the University of Pennsylvania in 2003, 23 years ago. Practices with Lifespan Physician Group Inc, a 1,125-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
23
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
RI
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

593 Eddy St APC-10
Providence, RI 02903-4923
Phone: (401) 444-7959
Fax: (401) 444-7144
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence MD16769 (RI)
Dermatopathology Physician Taxonomy 207ND0900X · Licence MD16769 (RI)

Record details

NPI number1346376050
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedFebruary 26, 2007
Last updated in NPPESDecember 18, 2025
Certification dateDecember 18, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 2003 (23 years in practice)
Group practice Lifespan Physician Group Inc — 1125 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Providence