Mario J. Sebastianelli, Md Pc

LBN: Mario J. Sebastianelli, Md Pc
Mario J. Sebastianelli, Md Pc is an health care organization with primary practice located at 1416 Monroe Ave Ste 206, Dunmore PA 18509-2477. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is the primary health care specialty. Mario J. Sebastianelli, Md Pc can be contacted via phone (570) 347-5212, or through Sebastianelli, Mario J. via phone (570) 347-5212.

Contact Information

Primary practice address
1416 Monroe Ave Ste 206 Dunmore PA 18509-2477
Phone: (570) 347-5212
Fax: (570) 346-4814
Website:
Map and Directions
Authorized official contact:
Name: Sebastianelli, Mario J. Doctor of Medicine (MD)
Phone: (570) 347-5212

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD006983E Pennsylvania
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD006983E Pennsylvania

Profile Details

NPI number 1194723007
LBN Legal business name Mario J. Sebastianelli, Md Pc
DBA Doing business as
Authorized official Sebastianelli, Mario J. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2005
Last updated Aug 6th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194723007 NPPES
Pennsylvania MEDICAID 0669080

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