Individual
ADRIAN SECHERESIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 1ST ST, WEATHERLY, PA 18255-1506
(570) 427-8643
(570) 427-8044
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3331
(484) 884-4500
(484) 884-0699
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35 06 1594 S
OH
207R00000X
Internal Medicine Physician
Primary
MD042955L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000695289
BLUE SHIELD
PA
05
—
001404848-0005
—
PA
05
—
0014048480004
—
PA
01
—
002254
FIRST PRIORITY HEALTH
PA
Enumeration date
11/10/2005
Last updated
03/02/2020
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