Basic Information
Provider Information
NPI: 1851753446
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARSEL
FirstName: SEAN
MiddleName: MICHAEL
NamePrefix:  
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 925 CHESTNUT ST FL 6
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074204
CountryCode: US
TelephoneNumber: 2159556760
FaxNumber: 2159234532
Practice Location
Address1: 925 CHESTNUT ST FL 6
Address2:  
City: PHILADELPHIA
State: PA
PostalCode: 191074204
CountryCode: US
TelephoneNumber: 2159556760
FaxNumber: 2159234532
Other Information
ProviderEnumerationDate: 03/23/2016
LastUpdateDate: 10/13/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/13/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Y00000X302434LAN Allopathic & Osteopathic PhysiciansOtolaryngology 
207Y00000XOS021076PAY Allopathic & Osteopathic PhysiciansOtolaryngology 

No ID Information.


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