Provider Demographics
NPI:1639205354
Name:BAUER, ANDREA SESKO (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:SESKO
Last Name:BAUER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MARGARET
Other - Last Name:SESKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 8500
Mailing Address - Street 2:LOCKBOX 7642
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-7642
Mailing Address - Country:US
Mailing Address - Phone:813-281-8115
Mailing Address - Fax:
Practice Address - Street 1:2425 STOCKTON BLVD.
Practice Address - Street 2:SHRINERS HOSPITAL FOR CHILDREN NORTHERN CALIFORNIA
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817
Practice Address - Country:US
Practice Address - Phone:916-453-2049
Practice Address - Fax:916-453-2373
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAL-224887207X00000X
CAA116226207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery