Provider Demographics
NPI:1467452201
Name:SESSO, DONALD (DO)
Entity Type:Individual
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First Name:DONALD
Middle Name:
Last Name:SESSO
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1 W ELM ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:CONSHOHOCKEN
Mailing Address - State:PA
Mailing Address - Zip Code:19428-2007
Mailing Address - Country:US
Mailing Address - Phone:610-567-6967
Mailing Address - Fax:610-567-6170
Practice Address - Street 1:2705 DEKALB PIKE
Practice Address - Street 2:SUITE 309
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-1852
Practice Address - Country:US
Practice Address - Phone:610-275-0200
Practice Address - Fax:610-275-4436
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2010-07-28
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Provider Licenses
StateLicense IDTaxonomies
PAOS002870L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006424890001Medicaid
PA162010R64Medicare PIN
PA0006424890001Medicaid
PAB40379Medicare UPIN