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Organization
MARIO J. SEBASTIANELLI, MD PC
Active
Organization
MARIO J. SEBASTIANELLI, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO J. SEBASTIANELLI M.D. (OWNER)
(570) 347-5212
Entity
Organization
Contact information
Practice address
1416 MONROE AVE, STE 206, DUNMORE, PA 18509-2477
(570) 347-5212
(570) 346-4814
Mailing address
1416 MONROE AVE, STE 206, DUNMORE, PA 18509-2477
(570) 347-5212
(570) 346-4814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD006983E
PA
207RN0300X
Nephrology Physician
Primary
MD006983E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0669080
—
PA
Enumeration date
07/13/2005
Last updated
08/06/2007
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