# DR. PETER SEBASTIAN D.O. PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568787414
- **Authorized official:** MRS. KATHY JO THOMAS (OFFICE MANAGER)
- **Authorized official phone:** (410) 341-6520

## Contact information

- **Practice address:** 32071 BEAVER RUN DR, STE B, SALISBURY, MD 21804-1773
- **Practice address phone:** (410) 341-6520
- **Practice address fax:** (410) 341-6526
- **Mailing address:** PO BOX 1859, SALISBURY, MD 21802-1859
- **Mailing address phone:** (410) 341-6520
- **Mailing address fax:** (410) 341-6526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | H0029243 | MD | Yes |

## Other

- **Enumeration date:** 04/05/2010
- **Last updated:** 04/05/2010