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Individual

SEAN PHILIP NUTTING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2501 N 3RD ST, HARRISBURG, PA 17110-1904
(717) 782-6420
(717) 782-4727
Mailing address
500 UNIVERSITY DR, HERSHEY, PA 17033-2360

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD472686
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103864957
PA
01
15520403
CAQH ID
01
MD472686
STATE LICENSE - MD
PA
Enumeration date
05/25/2018
Last updated
09/29/2023
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