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WAYNE J SEBASTIANELLI M.D.
Sports Medicine >> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1730143736
Individual Registrant: WAYNE J SEBASTIANELLI M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1850 E PARK AVE SUITE 112 STATE COLLEGE, PA 16803 US
Tel: 814-865-3566 Fax: 814-863-7803
Tel: 814-865-3566 Fax: 814-863-7803
Contact information for business:
PO BOX 858 MC A410 HERSHEY, PA 17033-0858 US
Tel: 800-243-1455 Fax: --
Tel: 800-243-1455 Fax: --
Registration Information:
NPI: 1730143736
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2081S0010X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation Sports Medicine | PA | MD040932E |
| Y | 207X00000X | Allopathic & Osteopathic Physicians Orthopaedic Surgery | PA | MD040932E |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 0011279080003 | PA | 05 |
