Pagana, Timothy James

Pagana, Timothy James is an individual health care provider with primary practice located at 1100 Grampian Blvd , Williamsport PA 17701-1909. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pagana, Timothy James can be contacted via phone (570) 326-8200.

Contact Information

Primary practice address
1100 Grampian Blvd Williamsport PA 17701-1909
Phone: (570) 326-8200
Fax: (570) 320-7540
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD018499E Pennsylvania

Profile Details

NPI number 1568423341
LBN Legal business name Pagana, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 21st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568423341 NPPES
Pennsylvania MEDICAID 0008611620002
Pennsylvania Other 112452
Pennsylvania Other 50054304
Pennsylvania Other 053838
Pennsylvania Other 217848
Pennsylvania Other 23097
Pennsylvania Other 815726
Pennsylvania Other B34486

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