Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 170100000X | Medical Geneticist | MD020570E | PA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | MD020570E | PA |
NPI | 1720162654 |
---|---|
Provider Name | Dr. Michael John Paszek |
First Address | Danville, PA 17822-4903 |
Second Address | Camp Hill, PA 17011-2204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 21/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B33629 | (02) | PA |