Healthcare Provider Details
I. General information
NPI: 1245295880
Provider Name (Legal Business Name): JAN C. SESKI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/18/2006
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4660 TWIN OAKS DRIVE
MURRYSVILLE PA
15668-9449
US
IV. Provider business mailing address
4660 TWIN OAKS DRIVE
MURRYSVILLE PA
15668-9449
US
V. Phone/Fax
- Phone: 724-325-2284
- Fax: 724-327-0908
- Phone: 724-325-2284
- Fax: 724-327-0908
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | MD025133E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: