Provider Demographics
NPI:1477562957
Name:SATTEN, NEAL R (MD)
Entity Type:Individual
Prefix:
First Name:NEAL
Middle Name:R
Last Name:SATTEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 MEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-2418
Mailing Address - Country:US
Mailing Address - Phone:215-482-4827
Mailing Address - Fax:215-482-4828
Practice Address - Street 1:1305 MEDFORD RD
Practice Address - Street 2:
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-2418
Practice Address - Country:US
Practice Address - Phone:215-482-4827
Practice Address - Fax:215-482-4828
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018448E2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAB35824Medicare UPIN
PA093153Medicare ID - Type Unspecified