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WAYNE J SEBASTIANELLI M.D.

Sports Medicine >> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1730143736

Individual Registrant:
 WAYNE J SEBASTIANELLI M.D.
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

Contact information for business:
PO BOX 858 MC A410 HERSHEY, PA 17033-0858 US
Tel: 800-243-1455  Fax: --

Registration Information:
NPI: 1730143736
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N2081S0010XAllopathic & Osteopathic Physicians
Physical Medicine & Rehabilitation
Sports Medicine
PAMD040932E
Y207X00000XAllopathic & Osteopathic Physicians
Orthopaedic Surgery
PAMD040932E

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0011279080003PA05




HEALTH CARE JOBS PA - Page 1



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