Provider Demographics
NPI:1659533289
Name:MARGETAS, SEVASTI PETER (DO)
Entity Type:Individual
Prefix:DR
First Name:SEVASTI
Middle Name:PETER
Last Name:MARGETAS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1259 S CEDAR CREST BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6372
Mailing Address - Country:US
Mailing Address - Phone:717-487-4539
Mailing Address - Fax:
Practice Address - Street 1:1259 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6288
Practice Address - Country:US
Practice Address - Phone:610-437-4134
Practice Address - Fax:610-437-2118
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2010-08-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOT012399208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice