Individual provider · Type 1 NPI

Sebastian S. Roque

Student in an Organized Health Care Education/Training Program · Philadelphia, PA

NPI number 1700465788 Active

Practice location

1020 Sansom St Ste 1651B
Philadelphia, PA 19107-5002

Call (215) 955-9837 Map

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000X329834 (NY)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1700465788

Sebastian S. Roque's National Provider Identifier is 1700465788, issued on Apr 6, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Philadelphia, PA. The record was last updated on May 15, 2024.