Provider Demographics
NPI:1922009307
Name:SINITSA, MICHAEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:L
Last Name:SINITSA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4885 DEMOSS RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-9023
Mailing Address - Country:US
Mailing Address - Phone:610-779-9489
Mailing Address - Fax:610-779-9487
Practice Address - Street 1:4885 DEMOSS RD
Practice Address - Street 2:SUITE 201
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19606-9023
Practice Address - Country:US
Practice Address - Phone:610-779-9489
Practice Address - Fax:610-779-9487
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2016-09-13
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Provider Licenses
StateLicense IDTaxonomies
PAMD067981L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001818504Medicaid
PA001818504Medicaid
PAG94435Medicare UPIN