Individual
DR. SEAN B PEPPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 7TH AVE, SUITE 225, WEST READING, PA 19611-1410
(610) 741-0310
(610) 741-0311
Mailing address
50 COMMERCE DR, WYOMISSING, PA 19610-3335
(610) 372-8044
(484) 334-7026
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
028624
GA
207Y00000X
Otolaryngology Physician
Primary
MD442066
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000320471B
PEACH STATE
GA
05
—
000320471B
—
GA
05
—
102573801
—
PA
01
—
297051
WELL CARE
GA
01
—
52235853
BCBS #
GA
Enumeration date
11/09/2006
Last updated
09/19/2011
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