Organization
DR. PETER SEBASTIAN D.O. PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY JO THOMAS (OFFICE MANAGER)
(410) 341-6520
Entity
Organization
Contact information
Practice address
32071 BEAVER RUN DR, STE B, SALISBURY, MD 21804-1773
(410) 341-6520
(410) 341-6526
Mailing address
PO BOX 1859, SALISBURY, MD 21802-1859
(410) 341-6520
(410) 341-6526
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
H0029243
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
318311400
—
MD
Enumeration date
04/05/2010
Last updated
04/05/2010
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