Individual
WAYNE J SEBASTIANELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1850 E PARK AVE, SUITE 112, STATE COLLEGE, PA 16803
(814) 865-3566
(814) 863-7803
Mailing address
PO BOX 858, MC A410, HERSHEY, PA 17033-0858
(800) 243-1455
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD040932E
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD040932E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011279080003
—
PA
Enumeration date
04/14/2006
Last updated
05/10/2026
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