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Search › Pennsylvania › 390200000X

Sebastian Roque

NPI 1700465788 · on the registry since 2021

Practice

Address
1020 Sansom St Ste 1651b
Philadelphia, PA 19107
Phone
(215) 955-9837
Organisation at this address
Jefferson University Physcians
Inferred from a shared address, not stated in the registry.
Clinicians at this address
197

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
207P00000X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania