Provider Demographics
NPI:1235138991
Name:SICARI, SEBASTIAN A (DO)
Entity Type:Individual
Prefix:DR
First Name:SEBASTIAN
Middle Name:A
Last Name:SICARI
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:608 GARRISONVILLE RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-3706
Mailing Address - Country:US
Mailing Address - Phone:540-972-1364
Mailing Address - Fax:540-659-3482
Practice Address - Street 1:608 GARRISONVILLE RD
Practice Address - Street 2:SUITE 201
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-3706
Practice Address - Country:US
Practice Address - Phone:540-659-4157
Practice Address - Fax:540-659-3482
Is Sole Proprietor?:No
Enumeration Date:2005-07-15
Last Update Date:2021-11-23
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Provider Licenses
StateLicense IDTaxonomies
VA0102201018207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF33181Medicare UPIN