Provider Demographics
NPI:1689750416
Name:SEWARDS, PATRICK MILO (MD)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:MILO
Last Name:SEWARDS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1150 GLENLIVET DR
Mailing Address - Street 2:BLDG A SUITE 21
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18106
Mailing Address - Country:US
Mailing Address - Phone:484-664-7700
Mailing Address - Fax:484-664-7701
Practice Address - Street 1:1150 GLENLIVET DR
Practice Address - Street 2:BLDG A SUITE 21
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18106
Practice Address - Country:US
Practice Address - Phone:484-664-7700
Practice Address - Fax:484-664-7701
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD025425E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50036154OtherCAPITAL BCBS
PA079014Medicare ID - Type Unspecified