Provider Demographics
NPI:1013065143
Name:SANET, STEVEN AARON (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:AARON
Last Name:SANET
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 CALVARESE LN
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-2932
Mailing Address - Country:US
Mailing Address - Phone:610-291-4159
Mailing Address - Fax:
Practice Address - Street 1:3524 SILVERSIDE RD
Practice Address - Street 2:37
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-4929
Practice Address - Country:US
Practice Address - Phone:302-477-1244
Practice Address - Fax:302-477-1262
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC20004818204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
G48338Medicare UPIN
010139Medicare ID - Type UnspecifiedMEDICARE GROUP
904260Medicare ID - Type UnspecifiedMEDICARE PROVIDER