Individual
DR. AGNES SWEETLIN HEPSIBAH SUNDARESAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16 WOODBINE LN, DANVILLE, PA 17822-8029
(570) 271-6070
(570) 271-5609
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT 193118
PA
208000000X
Pediatrics Physician
Primary
MD445175
PA
208000000X
Pediatrics Physician
MT 193118
PA
Other
Enumeration date
04/25/2008
Last updated
07/30/2020
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