Healthcare Provider Details

I. General information

NPI: 1568722858
Provider Name (Legal Business Name): SEAN PATRICK LARNER D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2012
Last Update Date: 06/11/2025
Certification Date: 06/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

768 N BETHLEHEM PIKE STE 300
AMBLER PA
19002-2659
US

IV. Provider business mailing address

768 N BETHLEHEM PIKE STE 300
AMBLER PA
19002-2659
US

V. Phone/Fax

Practice location:
  • Phone: 215-383-1333
  • Fax: 215-422-3818
Mailing address:
  • Phone: 215-383-1333
  • Fax: 215-422-3818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberOS016642
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: