Individual
SEAN MICHAEL DEVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-4824
(570) 271-6363
(570) 214-9208
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
BP10057275
TX
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD446563
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650707
TEXAS TRAINING PERMIT
TX
Enumeration date
04/14/2010
Last updated
08/27/2020
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