Provider Demographics
NPI:1902893027
Name:CONROY, SEAN PATRICK (DO)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:PATRICK
Last Name:CONROY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 W SPROUL RD
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2033
Mailing Address - Country:US
Mailing Address - Phone:610-338-1800
Mailing Address - Fax:610-338-1809
Practice Address - Street 1:100 W SPROUL RD
Practice Address - Street 2:SUITE 120
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-2033
Practice Address - Country:US
Practice Address - Phone:610-338-1800
Practice Address - Fax:610-338-1809
Is Sole Proprietor?:No
Enumeration Date:2005-10-04
Last Update Date:2012-07-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009273L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG37878Medicare UPIN
PA893391MFYMedicare PIN