MEDICARE: DR. MARIO J SEBASTIANELLI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	MD0006983E	PA
2	207RN0300X	Nephrology Physician	ME-11834	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972501872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARIO J SEBASTIANELLI MD

Provider Business Mailing Address
First Line	:	1416 MONROE AVE
Second Line	:	STE 206
City	:	DUNMORE
State	:	PA
Zip	:	18509-2477
Country	:	US
Telephone Number	:	570-347-5212
Fax Number	:	570-346-4814

Provider Business Practice Location Address
First Line	:	1416 MONROE AVE
Second Line	:	STE 206
City	:	DUNMORE
State	:	PA
Zip	:	18509-2477
Country	:	US
Telephone Number	:	570-347-5212
Fax Number	:	570-346-4814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2005
Last Update Date	:	08/02/2007

Similar Medicare Providers

1194723007 — MARIO J. SEBASTIANELLI, MD PC
Practice Location Address:

1416 MONROE AVE , STE 206
DUNMORE, PA
18509-2477

Practice Phone: 570-347-5212
Practice Fax: 570-346-4814

1922093749 — DR. EUGENE A TURCHETTI MD
Practice Location Address:

1416 MONROE AVE
DUNMORE, PA
18509-2477

Practice Phone: 570-344-5665
Practice Fax: 570-344-5370

1174537591 — DR. ANTHONY THOMAS MERCURI JR. DPM
Practice Location Address:

1416 MONROE AVE , SUITE # 205
DUNMORE, PA
18509-2477

Practice Phone: 570-344-8686
Practice Fax: 570-344-2841

1609970474 — BIO-MEDICAL APPLICATIONS OF PENNSYLVANIA INC
Practice Location Address:

1416 MONROE AVE
DUNMORE, PA
18509-2477

Practice Phone: 570-496-1179
Practice Fax: 570-496-1281

1114102829 — A T MERCURI DPM
Practice Location Address:

1416 MONROE AVE , SUITE 205
DUNMORE, PA
18509-2477

Practice Phone: 570-344-8686
Practice Fax: 570-344-2841

1336606631 — ALYSSA HURCHICK MS NCC
Practice Location Address:

1416 MONROE AVE STE 205
DUNMORE, PA
18509-2477

Practice Phone: 570-871-0203
Practice Fax:

Directions to “ DR. MARIO J SEBASTIANELLI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.