Dr. Sean Jason Adwar, M.D.
Radiology, Vascular & Interventional Radiology in Stony Brook, NY. Individual provider (NPI-1).
NPI number1942562392
StatusActive
Last updated in NPPESJan 16, 2019
Details
- NPI
- 1942562392
- Entity type
- Individual (NPI-1)
- Name
- Dr. Sean Jason Adwar
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2012
- Last updated
- Jan 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 274717 | NY | Yes |
Practice location
101 Nicolls Road, Stony Brook Ny 11794-8460Stony Brook, NY 11794-8460
Phone 631-444-7955
Mailing address
Po Box 1559Stony Brook, NY 11790-0989
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