Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS012066 | PA |
NPI | 1558437566 |
---|---|
Provider Name | Mr. Donald Mario Sesso |
First Address | Norristown, PA 19401-1565 |
Second Address | Norristown, PA 19401-1565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 19/02/2014 |