Individual
SEAN MANNING UDELL
Active
Individual
SEAN MANNING UDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT218016
PA
2084P0800X
Psychiatry Physician
Primary
13141285-1205
UT
2084P0800X
Psychiatry Physician
MD474556
PA
2084P0800X
Psychiatry Physician
MT218016
PA
Other
Enumeration date
03/25/2019
Last updated
04/03/2023
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