Provider Demographics
NPI:1336254432
Name:POPESCU, SEBASTIAN AURELIU (MD)
Entity Type:Individual
Prefix:
First Name:SEBASTIAN
Middle Name:AURELIU
Last Name:POPESCU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8996 GAP NEWPORT PIKE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AVONDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19311-9796
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8996 GAP NEWPORT PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:AVONDALE
Practice Address - State:PA
Practice Address - Zip Code:19311-9796
Practice Address - Country:US
Practice Address - Phone:610-869-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD429375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine