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Individual
SEAN PFAFF
Active
Individual
SEAN PFAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01078689A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01078689A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300003418
—
IN
01
—
959090062
MEDICARE PTAN
IN
01
—
P02565277
RAILROAD PTAN
IN
Enumeration date
07/09/2010
Last updated
12/28/2023
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