Healthcare Provider Details

I. General information

NPI: 1417933987
Provider Name (Legal Business Name): JOSEPH MILO SEWARDS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2005
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 N BROAD ST 6TH FLOOR, OUTPATIENT BUILDING
PHILADELPHIA PA
19140-5103
US

IV. Provider business mailing address

2450 W HUNTING PARK AVE 3/208N
PHILADELPHIA PA
19129-1302
US

V. Phone/Fax

Practice location:
  • Phone: 215-707-8331
  • Fax: 215-707-3520
Mailing address:
  • Phone: 215-707-8331
  • Fax: 215-707-3520

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD419985
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: