Mario J. Sebastianelli, Md Pc

NPI 1194723007 - Internal Medicine - 207R00000X

NPI Details
NPI 1194723007
Enumeration Date 07/13/2005
Last Updated 08/06/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARIO J. MARIO
Position OWNER
Phone (570) 347-5212
Fax (570) 346-4814
Practice Location
1416 MONROE AVE
STE 206
DUNMORE PA, 18509-2477, US
Phone (570) 347-5212
Fax (570) 346-4814
Business Location
1416 MONROE AVE
STE 206
DUNMORE PA, 18509-2477, US
Phone (570) 347-5212
Fax (570) 346-4814
Toxanomy
Taxonomy Code 207R00000X
License State Pennsylvania
License Number MD006983E
Remove 1194723007 NPI Number
 

According to our database, Mario J. Sebastianelli, Md Pc NPI is 1194723007, taxonomy code is 207R00000X and license number is MD006983E, license state is located at Pennsylvania. Mario J. Sebastianelli, Md Pc physically located at 1416 Monroe Ave, Dunmore PA, 18509-2477. NPI Number 1033115704 has the healthcare provider type.

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1194723007 NPI number is provided on an as is basis without warranty of any kind. 1194723007 is maintained by the National Plan & Provider Enumeration System. The contents of Mario J. Sebastianelli, Md Pc are for informational purposes only.