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Individual

SEAN A MCCANTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
5656 CHEW AVE, PHILADELPHIA, PA 19138-1742
(215) 991-9211
(215) 991-9321
Mailing address
1217 SNYDER AVE # 1, PHILADELPHIA, PA 19148-5512
(215) 465-5342
(800) 537-1174

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SCOO5626
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01968145
PA
01
2225531000
AMERIHEALTH
PA
01
30020475
KEYSTONE MERCY
PA
Enumeration date
07/06/2006
Last updated
09/08/2008
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