Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | MD041627E | PA |
NPI | 1053362210 |
---|---|
Provider Name | Mr. Sean G Dorrell |
First Address | Exton, PA 19341 |
Second Address | Exton, PA 19341 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1257232 | (05) | PA |
E83986 | (02) | PA |