Individual
SEAN STOCKHAUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1250 S CEDAR CREST BLVD STE 400, ALLENTOWN, PA 18103-6224
(610) 402-6555
(610) 402-6550
Mailing address
PO BOX 7833111, PHILADELPHIA, PA 19178-3311
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0116026164
VA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OS018604
PA
Other
Enumeration date
06/23/2013
Last updated
07/21/2022
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