Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | MT220511 | PA |
NPI | 1114542263 |
---|---|
Provider Name | Dr. Sean Paul Paul Schlosser |
First Address | Philadelphia, PA 19140-5189 |
Second Address | Philadelphia, PA 19140-5189 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/06/2020 |
Last Update Date | 15/06/2020 |