Provider Demographics
NPI:1225817828
Name:SADEL, MICHAEL AARON
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:AARON
Last Name:SADEL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:503 MONTICELLO LN
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH MEETING
Mailing Address - State:PA
Mailing Address - Zip Code:19462-1275
Mailing Address - Country:US
Mailing Address - Phone:610-247-6084
Mailing Address - Fax:
Practice Address - Street 1:2100 W CAMBRIA ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19132-2668
Practice Address - Country:US
Practice Address - Phone:610-247-6084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPP415282L183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist