Sean Bannan
Sean Bannan is a Physician Assistant in Newark, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
201 Lyons AveNewark, NJ 07112-2027
Phone: (973) 926-7000
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1659267300 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2025 |
| Last updated in NPPES | June 17, 2025 |
| Certification date | June 17, 2025 |
| Mailing address | 17 Gunther Loop, Somerset, NJ 08873-7354 |
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