Organization
SEPA DEVON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP J. SASSO MD (AUTHORIZED REPRESENTATIVE)
(215) 277-5888
Entity
Organization
Contact information
Practice address
860 LANCASTER AVE, DEVON, PA 19333-1316
(855) 235-7246
Mailing address
860 LANCASTER AVE, DEVON, PA 19333-1316
(855) 235-7246
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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