Organization
NEUROSURGICAL SPECIALTIES OF NEPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID J SEDOR MD (PRESIDENT)
(570) 823-3300
Entity
Organization
Contact information
Practice address
150 MUNDY STREET, MAC 4, WILKES BARRE, PA 18702
(570) 823-3300
(570) 823-0800
Mailing address
150 MUNDY STREET, MAC 4, WILKES BARRE, PA 18702
(570) 823-3300
(570) 823-0800
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD038409E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0013958830003
—
PA
Enumeration date
11/14/2007
Last updated
11/14/2007
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