Individual
MR. SEAN MICHAEL VANBASTELAAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 OSTRUM ST, FOUNTAIN HILL, PA 18015-1000
(610) 954-5810
Mailing address
19 WOODBRIDGE DR, DOYLESTOWN, PA 18901-1965
(267) 872-2014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01001000
NJ
367500000X
Certified Registered Nurse Anesthetist
RN655230
PA
Other
Enumeration date
06/17/2019
Last updated
04/02/2026
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