Provider Demographics
NPI:1619949799
Name:SELL, HARRY W JR (MD)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:W
Last Name:SELL
Suffix:JR
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 1:1501 LOCUST ST
Mailing Address - Street 2:SUITE 304
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-5136
Mailing Address - Country:US
Mailing Address - Phone:412-281-2255
Mailing Address - Fax:412-281-2092
Practice Address - Street 1:1501 LOCUST ST
Practice Address - Street 2:SUITE 304
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15219-5136
Practice Address - Country:US
Practice Address - Phone:412-281-2255
Practice Address - Fax:412-281-2092
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026375E174400000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAE63983Medicare UPIN
PA169152FKYMedicare PIN
PA169152Medicare ID - Type Unspecified